Patterson-Kelley MOD-04 Installation And Owner's Manual page 54

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