• Ifcombustionmeasurementsarenotintherangespecied,pleaserepeatthe SettingofthetestmodeandMaximumand
Minimumreadjustmentprocedureasdescribedpreviously.
Start Up Record
Start-upDate______________________
ModelNumber_____________________
SeriesNumber______________________
Gastype:___________
Powersupplyvoltage:Hot/Gnd______VAC,Hot/Neutral______VAC,Neutral/Gnd______VAC
Maximum Fire Minimum Fire
InletGasSupplyPressureInchW.C.
ManifoldPressureInchW.C.
CO2 %
CO PPM
O2 %
BlowerRPMs
Flue Gas Temp (°F)
StackPressureInchW.C.
DISPOSITION
Alltestsandvalues speciedmustmeetspecications priortoissuing thisStart-upcerticate.For anydiscrepancies,please
explainbelowwhatactionwastakentocorrecttheproblem.
NOTIFICATION
Alltestandvaluesspeciedmustmeetspecicationspriortoissuingthisstart-upcerticate.Foranyoftheeldtestsperformed,
explainbelowwhatactionwasperformedtocorrecttheproblem.Theownerhasbeennotiedthatcorrectionsmustbemadeto
this installation. The owner acknowledges that changes must be made within 30 days, prior to start up being completed.
RequiredSignatureofOwner Date