CHAPTER 15 - INSTALLATION RECORD
Ensure all manuals and other documents are returned to the Installation envelope and given to the owner for
safekeeping.
EXALT Model Number:
Serial Number:
Date of Installation:
Fuel:
Natural Gas
Measured Rate of Input:
Combustion Readings:
As Operating:
CO
2
O
2
CO
The following items were completed during installation:
Installation instructions have been followed and completed
Check-out procedures have been followed and completed
Information regarding the unit and installation received and left with owner /
maintenance personnel.
If air for combustion is taken from inside the property the customer has been made
aware of their obligation to ensure air grilles remain free from obstruction at all times.
Installer Information
(Company)
(Address)
(Address)
(Phone Number)
(Contractor / Installer Name)
(Customer Name)
Propane
%
%
ppm
Btu/hr =
As Installation Manual Table 6:
CO
2
O
2
CO
Signature
Signature
3600
x 1000
seconds per 1ft
gas
3
OK
%
NOT OK
%
ppm
Date
Date
81