Installation And Service Certificate - Weil-McLain Ultra Commercial Installation And Start-Up Manual

Commercial gas-fired water boiler
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GAS
GAS
GAS
FIRED WATER BOILER
FIRED WATER BOILER
FIRED WATER BOILER
Installation and Service Certificate
Boiler Model
BTU Input
Installer
(Company) (Address)
Boiler Model
Fuel
Natural ____ LP ____ CO High fire
Was orifice changed? _______________________________________________
Natural gas input rate measured _________________________ Btuh
Boiler Model
High Altitude
yes ____ no _____ Adjust Outdoor
Manual Reset Temp
System Type
Max Supply
Min Supply
Max OD Reset
Min OD Reset
Modulate On Diff
Modulate Off Diff
Max On Time
Min On Time
Boost Interval
Pre-pump Time:
Post-pump Time:
Circulator 1
Circulator 2
Circulator 3
Circulator 4
Maximum Rate
Minimum Rate
Circulator 1
on _______
Circulator 2
on _______
Circulator 3
on _______
Circulator 4
on _______
— Boiler Manual
— Boiler Manual
— Boiler Manual
Series
CP Number
Installation instructions have been followed.
Check-out sequence has been performed.
Above information is certified to be correct.
Information received and left with owner/maintenance person.
CO
High fire
2
WWSD Temp
°F
System Type
°F Max Supply
°F Min Supply
°F Max OD Reset
°F Min OD Reset
°F Modulate On Diff
°F Modulate Off Diff
minutes Max On Time
— Min On Time
minutes Boost Interval
seconds Pre-pump Time:
seconds Post-pump Time:
on-off Circulator 1
on-off Circulator 2
on-off Circulator 3
on-off Circulator 4
%Rate Maximum Rate
%Rate Minimum Rate
off _______
off _______
off _______
off _______
Date Installed
(Phone) (Installer's Signature)
% CO
Low fire
2
ppm CO Low fire
Was gas valve throttle adjusted for propane? __________________
°F Add'l Heat Demand Type
°F Add'l Heat Demand Time
System Type
°F Max Supply
°F Min Supply
°F Max OD Reset
°F Min OD Reset
°F Modulate On Diff
°F Modulate Off Diff
minutes Max On Time
minutes Min On Time
minutes Boost Interval
seconds Pre-pump Time:
seconds Post-pump Time:
on-off Circulator 1
on-off Circulator 2
on-off Circulator 3
on-off Circulator 4
%Rate Maximum Rate
%Rate Minimum Rate
Circulator 1
on _______
Circulator 2
on _______
Circulator 3
on _______
Circulator 4
on _______
%
ppm
1___ 2___ 3___ 4___
minutes
°F
°F
°F
°F
°F
°F
minutes
minutes
seconds
seconds
on-off
on-off
on-off
on-off
%Rate
%Rate
off _______
off _______
off _______
off _______

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