Quantum GAS-FIRED BOILERS Installation And Check-Outcertificate, Boiler Model, Serial #

Models: GAS-FIRED BOILERS

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INSTALLATION AND CHECK-OUT CERTIFICATE

INSTALLATION AND CHECK-OUT CERTIFICATE

Boiler Model

 

Serial #

 

Date Installed___________

Measured BTU/HR input____________

 

ϒInstallation instructions have been followed

ϒCheckout procedure and adjustments performed

ϒMaintenance and Service issues reviewed with owner/ maintenance person

ϒInstallation booklet affixed on or adjacent to boiler

Installer (Company)

Address

Phone

Installer’s Name

Signature

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Page 44
Image 44
Quantum GAS-FIRED BOILERS Installation And Check-Outcertificate, Boiler Model, Serial #, Date Installed, Signature