Model Number: |
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| GAS SUPPLY |
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Type of gas: | Natural | LP |
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Inlet Static Gas Pressure: |
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| “W.C. (14” W.C. maximum) |
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Inlet Flow Gas Pressure: |
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| “W.C. (see data label) |
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Combination Gas Pressure Switch Setting: High |
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| “W.C. |
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| COMBUSTION ANALYSIS |
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| BURNER MODEL NO.: |
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| BURNER SERIAL NO.: |
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| (For fixed rate burner, use High Fire column) |
| Low Fire |
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| Mid Fire |
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| High Fire |
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| Pilot Gas Pressure |
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| Manifold Gas Pressure |
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| Carbon Dioxide CO2 |
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| Oxygen O2 |
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| Carbon Monoxide CO (less than 200 ppm) |
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| Nitrogen Oxide NOX (if available) |
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| Vent Pressure |
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| Gross Vent Temperature °F |
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| less Room Temperature °F |
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| = Net Vent Temperature °F |
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Important: You must submit the original copy of the completed form to your PVI representative before the warranty will become effective on this product. Contact Customer Service for assistance at
Comments:
Service Company Name: |
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Service Company Address: |
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| Date: |
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Customer Representative: |
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PV 17 8/05 | Page 2 of 2 |