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SERVICE DOCUMENTS
COMBUSTION SETTINGS: Fuel Type is:
FIRING POSITION:
Fuel Position
Air Position
Air Position
Air Position
Air Position
RPM Position
Incoming Voltage
Supply Gas Pressure (InWC)*
Manifold Gas Pressure (InWC)*
MV Downstream Gas (InWC )*
Fan Discharge Pressure (InWC)*
Wet ( Analyzer) O2%
CO2 %
CO ppm
NOx @ 3%
Room Ambient Temp. °F
Combustion Air Temp. °F
Stack Temperature °F
Stack Draft (InWC)*
Inlet Water Temp. °F
Outlet Water Temp. °F
Main Flame Signal
OPERATING HISTORY
Boiler Online Hours
Boiler Run Hours
Boiler Cycles
Attempted Ignitions
Successful Ignitions
When complete, please keep this form with the boiler and store a record copy in a safe location. Accurate and
complete combustion and maintenance records detailing compliance with the Installation, Operation, and
Maintenance Manual must be produced for warranty consideration. Please use photocopies or consult your local
Fulton Representative for additional copies of this form.
5-16
Natural Gas
Propane
P0
P1
P2
LIGHT
* Use only a Slack Tube
P3
P4
P5
P6
Manometer or equivalent. The use of a digital manometer is not recommended.
®
SECTION 5
EXE-IOM-230112
P7
P8
P9
P10
100%
2022-1010-EXE-MX-FORM
© Fulton Group N.A., Inc. 2023
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