Water Heater Service Report - Bradford White UCG100H3993N Service Manual

Ultra low nox atmospheric vent water heaters with direct spark ignition
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Water Heater Service Report

Date _______________
Service Provider _____________________________
Phone Number _______________________________
Intake Venting (PVC, CPVC):
Intake Vent size 3", 4"
Intake 90° Elbows (qty)
Gas Line:
Size & Material ______________
Distance from Meter to Water
Heater _____________________
Electrical:
Line Voltage ________________
Error Codes on Control Display ______________________________________________________________________
Combustion:
CO
____________________
2
Installation Site Name & Address:
________________________________
________________________________
________________________________
________________________________
________________________________
40
______
Intake 45° Elbows (qty)
______
Exhaust Vent Size 6",7",8"
Gas Pressure:
Static _____________________
Running Inlet _______________
Manifold ___________________
Low Voltage ________________
Flame Sense (μA) ___________
Model Number _______________________________
Serial Number
______
CO ____________________
Installation Site Contact Name & Phone Number
________________________________
________________________________
________________________________
________________________________
________________________________
40
_____________________________
Length of Straight Pipe
(Intake)
________
Venturi:
Setting from Bottom in Turns
____________________________
Polarity ____________________
Spark Gap _________________

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