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8 Boiler Fire-Test Report
Appliance Serial #
Installation: Name:
State:
Installer Name:
Fuel:
Natural Gas
Outdoor Temperature Sensor Connected
Field Fire-Test
Inlet Gas
Oxygen (O2)
Carbon Dioxide (CO2)
Carbon Monoxide (CO)
Nox
Gross Stack Temp.
Combustion Air Temp.
Stack Press.(exhaust)
Main Flame Signal
Efficiency
Comb. Air Pres. (intake)
Lockup/Static Gas pressure
Gas pressure drop @ ignition
2. Water Inlet temperature:
3. Water Outlet temperature:
4. Flow through boiler:
5. Operating Temperature Setpoint:
6. Approximate stack lengths:
7. Incoming Electrical Power
8. Sytem Water pH level
9. Comments:
Performed by PK
Certified Agent:
Revised: October 2, 2019
Released: October 2, 2019
Yes:
_____ "w.c.
_____ %
_____ %
_____ ppm
_____ ppm
_____ ° F
_____ ° F
_____ "w.c.
_____ Volts or uA
_____ %
_____ "w.c.
_____
_____ ° F
_____ ° F
_____ GPM
_____ ° F (from internal OR external control)
____
Ft. Horizontal
_____ Volts a.c.
_____
(Print Name)
A copy must be returned within 30 days of startup to Harsco Industrial Patterson-Kelley
Harsco Industrial Patterson-Kelley • 155 Burson Street • E. Stroudsburg, PA 18301
P) 570-476-7261 F) 570-476-7247 pkboilers@harsco.com
Patterson-Kelley 2019
All Rights Reserved.
Model #
Zip:
Contact
Type of Installation:
Propane
No:
High
_____ "w.c.
_____ %
_____ %
_____ ppm
_____ ppm
_____ ° F
_____ ° F
_____ "w.c.
_____ Volts or uA
_____ %
_____ "w.c.
_____ Ft. Vertical
Less than 1 volt between neutral and ground
Start Up Certification #
P-K Storm
TM
Gas Fired Boiler
Technical Service 1.877.728.5351
Date:
City:
Low
DATE:
_____ Flue Pipe Diameter
________________
2691000099 P-K Storm Installation and Owners
Phone:
(Hotel, School, etc.)
Manual.docx
Page 78
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