Installation & Commissioning Report - IBC Sl Series Installation & Operating Manual

Installation & Commissioning Report
Model Number _____________________ Serial Number ________________________________
Date of Installation ________ Address of installation ____________________________________
User contact information __________________________________________________________
Installer Information (Company & Address)_____________________________________________
Phone/Fax/E-mail ________________________________________________________________
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Fuel: Natural Gas
Gas Supply Pressure (high fire) ____ Inches w.c. Measured Rate of Input (high fire) _____Btu/hr
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Leak testing completed
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System Cleaned and Flushed (type of cleaner used) __________________________________
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System Filled (type/concentration of any glycol/chemicals used) _________________________
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Air purge completed
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Relief Valve correctly installed and piped Relief valve "try lever" test performed
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Condensate trap filled Condensate drain clear and free flowing Condensate Neutralization.
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Ignition Safety Shutoff test completed. Flame current - High fire _____ µA - Low fire _____ µA
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Owner advised and instructed in the safe operation and maintenance of the boiler and system.
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Information regarding the appliance and installation received and left with owner
Combustion Readings: CO
Flue temperature ___ Return water temperature (measure simultaneously with flue temp.) _____
Commissioning has been completed as listed on this report - Installer's Signature _____________
Installers: send this completed sheet - Fax to 604 877 0295 - or - scan and Email to
info@ibcboiler.com.
Propane
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Gas piping Venting system
_____________ % O
2
Installation & Commissioning Report
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Fan combustion components
______________ % CO ____________ ppm
2
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