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

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

             For Service  Call     ______________________________
                                                           Phone #

Furnace Manufacturer                      _____________________________________

Model #                                            _____________________________________

Serial #                                             _____________________________________

Actual Heat Loss                                     ___________________________________ BTU/h

Furnace DOE or Gross Output          _______________________________ BTU/h

Incoming Gas pressure                        _____________________

Manifold Gas Pressure                        _____________________

Clock Furnace                                     _____________________  Actual Btu's

Fan Control                                        ____________________  Fan Off (if applicable)
Settings
                                                           ____________________  Fan On (if applicable)

                                                          ____________________  High Limit (if applicable)

Static pressure of Duct System         _______________________ Supply

                                                                      __________________________ Return

Blower Speed                                    _____________________  Heating

                                                         _____________________  Cooling

Temperature Rise through furnace    ____________________ Degrees f

 Manufacturer Spec Rise                   _______________________Degrees f
  
 

Technician  _________________________________________________________________