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Furnace Model # Serial #
Input Rate Nozzle Used
New Construction
Replacement
Installation Data
Furnace Location:
A Basement- Open Enclosed*
B Utility Room - Open Enclosed*
C Closet- Open Enclosed*
D Crawl Space- Open Enclosed*
*Provisions must be made for adequate air for combustion. See
Combustion and Ventilation Air on page 7.
Chimney Data:
A Inside Outside
B Brick Masonry
C Lined Size
D Type: Class A All purpose Type: L
E Condition
Flue Pipe:
A Distance to Chimney Pitch
B Diameter
C Barometric Damper Installed
D Drill 5/16" hole in flue pipe 12" upstream of barometric
damper
E Drafting Reading:
F Adjust Barometric:
Oil Tank Data:
A Installed in Basement
B Installed Outside
C Buried/Depth
D Size Gallons
E Age
F Last cleaned on date
Oil Lines:
A Size: 3/8" 1/2" Other
B Single Pipe Two Pipe
C Distance from Tank Lift
D Filter TypelnspectChange
E Pressure Test
F All fittings checked for tightness
Thermostat
A Type: Heating Cooling
B Anticipator Set:
C Wires: New Old
Air Filter
A Filter Type: Permanent Disposable
B Installed:
C Size:
Date of Installation
Start-Up Procedure
A Close disconnect switch
B Set thermostat to call for heat
C Bleed air from lines and pump; run for 20 seconds after bubble
disappears
D Install vacuum gauge; check pump vacuum
E Install pressure gauge; adjust pressure gauge to 140 psig, Al-
ways verify proper pump pressure to corresponding tables
with instructions supplied with unit,
F After 10 minutes operating, obtain flue temperature reading:
1st 2nd 3rd
G Obtain smoke reading:
1st 2nd 3rd
H Measure CO2::
1st 2rid 3rd
Check draft overfire: Breech
J Air shutter setting Locked
K Measure static pressure in duct system:
Supply side static pressure
Return side static pressure
Static pressure drop
L Temperature rise after steady state conditions have been
achieved: Supply side Return side
M Block off return air (limit control checkout); confirm burner shut
down within 2 to 3 minutes
Installed by:.
Dealer:
Address
Telephone No, ( )
License No,
Notes:
Owner Record
505082M 10_5
Page 24