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Oil Fired Hot Water Boiler
Unit Installed By ________________________________ Date ______/ _______/ _____
For Service call ______________________________________
Actual Heat Loss _______________________________________ BTU/h
Boiler DOE Output _______________________________________ BTU/h
Outdoor Design Temperature ___________________________________
Boiler Manufacturer _______________________________________
Model # _______________________________________
Serial # _______________________________________
The following should be adjusted to manufacturers Spec's
See Installation Manual
Combustion Efficiency _____________________%
Smoke Reading _____________________
Co2 (%) or O2 Reading _____________________
Gross Stack Temperature (F) _____________________
Net Stack Temperature _____________________
Draft OF or Breech (Pressure fired boilers) _____________________" W.C.
Nozzle Size _______/ _________ / ________
Pump Pressure ____________________ PSI
Aquastat Settings ____________________ Low (If applicable)
____________________ High
____________________ Differential (If applicable)
Circulator pump away from tank connection? Yes / No
If cast iron boiler, boiler Protection? Yes / No
Good quality 10 Micron oil filter? Yes / No (usually a spin on)
Technician _________________________________________________________________________________________ Keep for your records of installation date and original set-up information