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Appendix I: Installation & Startup Report
P/N: 105641-06
Customer: __________________________________________
Address: ______________________ City: _______________ State: ______ Zip: _______
Contact: ___________________________ Phone: ____________________________
=====================================================================
Model _______________________
□
Hydronic
Water Heater
Voltage: Supply _________ Control: ____________ Water Temp (SP1) ______
Ducted Air? ________ AL29-4C Vent Material? ______ Vent Dia. _______ Rain Cap? ______
Feet Vertical ________ Feet Horizontal ______ Elbows/Tees _______________________
Gas Supply Pressure – iwc
units on)
Fan Speed (rpm)
Fan Speed, Light-Off (rpm)
CO (ppm – corrected to 3%O
CO
(%)
2
O
(%)
2
Stack Temp (
Room Temp (
Stack Draft (iwc)
Combustion Efficiency (%)
High Gas Pressure Switch Settings (iwc)
Low Gas Pressure Switch Settings (iwc)
High Temp Aquastat Setting (
Notes/Comments (use back if necessary): __________________________________________________
________________________________
Service Representative / Company
98
Thermal Solutions, 1175 Manheim Pike, Lancaster, PA 17601 Website: www.thermalsolutions.com
Installation & Startup Report
S/N _______________
□
Condensing
Operating Parameter
□
□
psi
(at inlet to boiler gas train - all
)
2
O
F)
O
F)
O
F)
Phone: 717-239-7642 Fax: 877-501-5212 Email: sales@thermalsolutions.com
Boiler
Input Rating _________________
□
Indoor/Outdoor _________ Elevation ________
Read at:
________________________________
Date: _____________
O
O
F RWT ______
F
Setting
(static)
(high fire)
Low Fire
High Fire
Customer Representative
Form 2443
Revision 1
9/29/2021
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