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

Incoming Gas pressure                        _____________________

Manifold Gas Pressure                        _____________________

Clock Furnace                                     _____________________  Actual Btu's

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

                                                          ____________________  High Limit (if adjustable)

Static pressure of Duct System         _______________________ Supply

                                                                      __________________________ Return

Blower Speed                                   _____________________  Heating

                                                         _____________________  Cooling

Temperature Rise through furnace      _____________________ Degrees
 
 
 

Technician  _________________________________________________________________