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PV 17 8/05 817-335-9531 ● 800-433-5654 ● FAX 800-880-2019 ● www.pvi.com
Model Number:
Serial Number:
GAS SUPPLY
Type of gas: Natural LP Gas Supply Pipe Size: inches
Inlet Static Gas Pressure: “W.C. (14” W.C. maximum)
Inlet Flow Gas Pressure: “W.C. (see data label)
Combination Gas Pressure Switch Setting: High / Low “W.C.
COMBUSTION ANALYSIS
BURNER MODEL NO.: BURNER SERIAL NO.:
(For fixed rate burner, use High Fire column) Low Fire Mid Fire High Fire
Pilot Gas Pressure
Manifold Gas Pressure
Carbon Dioxide CO
2
(8-9%)
Oxygen O
2
(5-7%)
Carbon Monoxide CO (less than 200 ppm)
Nitrogen Oxide NO
X
(if available)
Vent Pressure (-.02” to -.06” W.C.)
Gross Vent Temperature °F
less Room Temperature °F
= Net Vent Temperature °F
Important: You must submit the original copy of the completed form to your PVI representative before the
warranty will become effective on this product. Contact Customer Service for assistance at 1-800-433-5654.
Comments:
Service Company Name:
Phone:
Service Company Address:
Start-up Performed By:
Date:
Customer Representative:
Date:
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