Thermo Pride OT11-105FBP Installation And Operation Manual page 17

All installations and services must be performed by qualified service personnel.
COMBUSTION AND EFFICIENCY TESTING FOR THERMO PRIDE
OIL FIRED CENTRAL FURNACES.
Complete this form for each Thermo Pride furnace installed. Read instruction
manual carefully before making tests. Retain this form with furnace.
CUSTOMER NAME
ADDRESS
CITY, STATE
BURNER MODEL NO.
HEATING
SYSTEM
COMBUSTION CHAMBER
TYPE OF VENTING SYSTEM
FUEL LINE FILTER
COMBUSTION
TESTS
CO2 in stack pipe
(Operate burner
Draft Over-fire
at least 10
Draft in stack pipe
minutes before
Smoke number
starting tests.)
Gross stack temp.
Furnace room temp.
Net stack temp.
(Gross stack minus
furnace room temp.)
Efficiency
Nozzle size and spray
Oil pump pressure
Operation of Controls
Burner Safety Controls
Check for oil leaks
Tests taken by
Date
NOTES:
INSTALLER NAME & ADDRESS
BLAST TUBE LGTH.
CONDITION
MASONRY METAL
CHIMNEY CHIMNEY
METAL MASONRY CHIMNEY
CHIMNEY W/METAL LINER
W/INDUCER
DRAFT CONTROL
INITIAL
INSTALLATION
AIR SHUTTER OPENING
INS.
FURNACE MODEL
MATERIAL
SIDEWALL
POWER VENTER
FURNACE SERIAL NUMBER
SERVICE SERVICE
13
% OF MAX. (EST)
MASONRY
CHIMNEY
W/INDUCER
SERVICE