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Boiler Model / Series
Part Number ____________
Natural gas input rate measured HIGH________ CFH / LOW________ CFH
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_______________________________________________________________
Boiler model
_______________________________________
Number
____________
Measured Btuh input
Installer _______________________
(company)
132
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ALL OUNT GAS FIRED WATER BOILER
Boiler Start-Up Data
/ Series ____
FUEL: Natural ____ LP ____
†
Installation instructions have been followed.
†
Checkout sequence has been performed.
†
Above information is certified to be correct.
†
Information received and left with owner/maintenance person.
______________________________ ____________________________
(address)
—
Date installed ________________
Btu Input ___________________
_________________________________
Date installed
Boiler Manual
CO # +LJK ¿UH BBBBBB
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____________
Series
(phone)
_____________________________________
(installer's signature)
Part number 550-100-305/0118
/RZ ¿UH BBBBBB