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SECTION 5
EDR-SOLA-IOM-2022-0216
NOTE:
TO BE COMPLETED BY A FACTORY AUTHORIZED TECHNICIAN HOLDING A VALID EDR CERTIFICATE OF REGISTRATION. WARRANTY
COVERAGE IS VALID ONLY IF THIS FORM IS SUCCESSFULLY COMPLETED AND RETURNED TO FULTON WITHIN TWELVE WEEKS OF START-UP.
DATE
TECHNICIAN
TECH. COMPANY
TECH CERTIFICATE #
BOILER MODEL
NATIONAL BOARD #
GENERAL:
Boiler room pressure (Note: Must be neutral pressure)
Condensate trap height
Is the boiler configured for internal lead lag?
Boiler set point source (i.e. BMS, OAT, 4 - 20ma, Static)
COMBUSTION AIR SUPPLY FROM BOILER ROOM ONLY:
If boiler room, what is the Upper Louver Size? (In inches)
If boiler room, what is the Lower Louver Size?
Combustion air louver type
If motorized, are they interlocked with the boilers?
COMBUSTION AIR SUPPLY DUCTED DIRECTLY TO BOILER ONLY:
Combustion air intake material type (ie: PVC, Spiral Metal Duct, etc.)
Air intake termination location
Intake configuration
Combustion air intake ducting diameter
Combustion air intake ducting length
Combustion air intake elbow quantity
Horizontal separation between intake and exhaust termination
Vertical separation between intake and exhaust termination
FLUE GAS EXHAUST VENT CONFIGURATION:
Flue Gas Exhaust Venting (ie: CAT II/IV, AL29 - 4C, Polypropylene or 316L SS)
Exhaust termination location
Exhaust configuration
Venting inside diameter
Total Venting length (Rise + Run)
Vertical rise only
Elbows quantity
If common vented, is an exhaust fan installed?
What Is The Set Pressure Of The Fan?
Common vent pressure with all the boilers on at...
Does the boiler have a modulating draft damper?
Does the common exhaust have a modulating draft damper?
Questions? Please Contact Your Local Manufacturer's Representative
SERVICE DOCUMENTS
INSTALLATION & OPERATION
FULTON REP.
CUSTOMER
CONTACT NAME
CITY, STATE
PHONE NUMBER
E-MAIL
LENGTH
LENGTH
45'S
45'S
HIGH FIRE
"START-UP" REPORT
INCHES WC
INCHES
YES
NO
HEIGHT
HEIGHT
FIXED
MOTORIZED
YES
NO
N/A
ROOFTOP
SIDEWALL
INDIVIDUAL
COMMON
INCHES
FEET
90'S
FEET
FEET
ROOFTOP
SIDEWALL
INDIVIDUAL
COMMON
INCHES
FEET
FEET
90'S
YES
NO
INCHES WC
LOW FIRE
YES
NO
YES
NO
5-5
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