Phone 717-545-4067          Fax 610-340-2354

Cast iron gas hot water boiler installation imformation and checklist

Unit Installed By ____________________________________     Date  _____/ _____/ _____
                                                         Company Name

             For Service  call     ______________________________________
                                                                     Phone #

Boiler Manufacturer                            _____________________________________

Model #                                              _____________________________________

Serial #                                                _____________________________________

Actual Heat Loss                                        ____________________________________ btu/h

Boiler DOE Output                            _________________________________btu/h

Cubic Feet Air Available                    _____________________________ Only if using indoor air for combustion

Incoming Gas pressure                       _____________________

Manifold Gas Pressure                       _____________________

Clock Boiler Rate                                      _____________________________  Actual Btu's

Aquastat Settings                               ____________________  High Limit 

                                                          ____________________  Low (if Applicable)

                                                          ____________________  Differential (if Applicable)

Draft at chimney base                        _____________________ Should normally be less than -.04" w.c.
 

Technician  _______________________________________________________________