START-UP REPORT
GAS FIRED NON-CONDENSING WATER HEATERS
Atmospheric - MAXIM® - TURBOPOWER®
Warning: Startup must be performed by a qualified service installer, service agency or the gas supplier.
Model Number: |
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Job Name:
Address:
GENERAL INFORMATION
| Restart? | Yes |
| No | Installation is: |
| New | Replacement/Renovation | Indoor |
| Outdoor |
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| Primary operating voltage: |
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| VAC | Voltage from neutral to earth ground: |
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| (should be zero) |
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| Thermostat Setting: |
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| °F |
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| Thermostat Setting: |
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| °F |
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| °F |
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| T & P Relief Valve(s) plumbed to a suitable drain? |
| Yes | No |
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| WATER HEATER INSTALLATIONS |
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| Type of piping connected to heater: |
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| Copper |
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| Brass | Galvanized |
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| Is there a check valve in the supply water piping? |
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| Yes | No |
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| Is there a water softener on the cold water supply? |
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| Yes | No | Operational? |
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| Yes |
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| No |
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| Is there a mixing valve on the hot water supply? |
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| If yes; temperature setting: |
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| °F |
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| No |
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| Is there expansion relief in the cold water supply? If yes, what type: | tank | valve |
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| No |
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| Is there a recirculation loop? | Yes | Circulating pump horsepower: |
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| No |
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| Is there a floor drain in the room? |
| Yes |
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| No |
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| VENTING and COMBUSTION AIR |
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| Vent Material: |
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| Vent Type: |
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| Through Sidewall |
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| Vent Diameter: |
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| inches; | Vent Length: |
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| feet Does vent have elbows? | Yes; Qty |
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| No |
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| Does vent have condensate drain? | Yes | No |
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| Does vent contain any of these devices? | Power Vent | Draft Inducer | Draft Regulator | Flue Damper | |||||||||||||||||||||||||||||||||||
| Combustion air louvers or openings? |
| Yes; Qty: |
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| Size: |
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| No |
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| Interlocked? |
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| Yes | No | ||||||||||||||||||||
| Have |
| Yes; duct diameter |
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| inches, Duct length |
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| feet. |
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| No | |||||||||||||||||||||||||||
| Duct Material: |
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| Does duct have elbows? | Yes; Qty |
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| No |
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PV 17 8/05 | Page 1 of 2 |