Hearthstone Quality Home Heating Products, Inc
The installer should complete the form below that describes the details of the installation. Having this written
record of installation information available will greatly expedite trouble-shooting should any problem arise with
your stove. The installer should keep a duplicate of this form for their records.
Date Purchased:
Dealer:
Date Installed:
Installer:
Fireplace Model: (circle one)
Serial Number:
Fuel: (circle one)
Inlet Pressure (after installation):
Manifold Pressure (after Installation):
Altitude: (feet above sea level)
Was the stove de-rated? (circle one)
If the stove was de-rated, to what orifice size?
Other installation notes:
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Installation Record
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GEMINI 48 CELESTE 48
_____________________in. WC
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High Fire: _____________ in. WC
Low Fire: _____________ in. WC
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CELESTE/GEMINI 48/60/72
GEMINI 60 CELESTE 60
GEMINI 72 CELESTE 72
Natural Gas (NG)
Yes
Models 8930/8935/8940/8945/8950/8955
Propane (LP)
No
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