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BOILER SERIAL # ___________________________ MODEL # _________________ DATE_________________
INSTALLATION: Name: __________________________________________________
City: _________________________ State: ______ Zip: __________
Installer Name: ____________________ Type of Installation: _________________(Hotel, School, Etc)
1. Factory Fire-Test: (copy from boiler label)
High Low
Cabinet Air "w.c. "w.c. 2. Combustion Air Temperature ° F
Inlet Gas "w.c. "w.c. 3. Water Inlet temperature: ° F
Manifold Gas "w.c. "w.c. Water Outlet temperature: ° F
Oxygen (O2) % % gpm flow through boiler
Carbon Dioxide (CO2) % % 4. a. Operating Temperature Setpoint: ° F
Carbon Monoxide (CO) ppm ppm
(from internal OR external control)
Net Stack Temperature ° F ° F b. Bias Setting
Pilot Gas Pressure "w.c. c. Ratio Setting
Pilot Flame Signal Volts 5. Approximate stack lengths:
Main Flame Signal Volts Ft. Horizontal
Ft. Vertical
Flue Pipe Diameter
6. Draft (measured where stack exits boiler)
"w.c.
Start-Up Field Test: DATE: " w.c. (Low)
High Mid Low 7. Incoming Electrical Power Volts a.c.
Cabinet Air "w.c. "w.c. "w.c.
Inlet Gas "w.c. "w.c. "w.c. 8. Total cycles:
Manifold Gas "w.c. "w.c. "w.c. 9. Total hours
Oxygen (O2) % % % 10. Fault Cycle
Carbon Dioxide (CO2) % % % 11. Fault Hours
Carbon Monoxide (CO) ppm ppm ppm 12. Fault Code
Net Stack Temperature ° F 13. What time in ignition cycle?
Pilot Gas Pressure "w.c. Additional Comments:
Pilot Flame Signal Volts
Main Flame Signal Volts Volts Volts
RED ORANGE BLUE
Performed by: Please return a copy to P-K, ATTN: Boiler Tech. Support Department
Patterson-Kelley • 100 Burson Street • E. Stroudsburg, PA 18301
P) 570-476-7261 F) 570-476-7247 www.pkboilers.com
MODU-FIRE
®
BOILER
Cam Setting
Less than 1 volt between neutral and ground
START-UP REPORT