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

Gas Steam Boiler Installation imformation and Checklist

Unit Installed By ___________________________________     Date  _____/ ______/ ____
                                                 Company Name

            For Service  call     ______________________________________
                                                                Phone #

Boiler Manufacturer                          _____________________________________

Model #                                             _____________________________________

Serial #                                               _____________________________________ 

Connected EDR                                  ___________________________________

Boiler rated EDR                                __________________________________ 

Were steam mains insulated?              __________________________________

Were steam main line vents replaced   ________________________________

CU. FT Indoor Combustion Air Available _______________________________ Requirement 50 cu. ft per 1000 btu's

Incoming Gas pressure                          ___________________    W.C.

Manifold Gas Pressure                          ___________________   W.C.

Clock Boiler                                          ___________________  Actual Btu's

Pressure Control Settings                      ____________________  Cut-In (normally 0.5 psi)

                                                              ____________________   Cut-Out (normally 1.5 - 2psi)

Aquastat Setting                                    ____________________  Degrees (if applicable) 

Technician  _________________________________________________________________