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
See Manufacturers Installation Manual for Spec's
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 _________________________________________________________________