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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

Incoming Gas pressure                        _____________________

Manifold Gas Pressure                        _____________________

Clock Boiler                                               _____________________  Actual Btu's

Aquastat Settings                               ____________________  Low

                                                          ____________________  High (if Applicable)

                                                         ____________________  Differential (if Applicable)

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

Technician  _______________________________________________________________