4388 Hamilton Dr - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-7739
14 3 RY 41) I LTD fk
ADDRESS
OCCUPANT
SOLD BY
MAKE 7pAAA,)
SERIAL NO
THERMOSTAT ..-1/) MY V I
VALVE
LIMIT
LIMIT SETTING
FAN SETTING
PILOT TYPE
i /'"I
IGNITION MODEL
PILOT TIMING
PRESSURE 1-JC-- PERCENT CO2
INPUT CFH PERCENT 02 2
FORM 235 (REV. 6/08)
STACK TEMP PERCENT CO
HEATING
TEST RECORD
INSTALLED BY
tisl CA-1
CITY
OWNER titiA)
1 k_
5K O - 1 4—
INPUT 911
MODEL
1/ 7 (=',1 / 4.--
32S )
JOB NO
VENT SIZE
TYPE OF LINER
LINER SIZE
FILTERS SIZE / *-2-5--)< A 4- NUMBER
/76 A t...J
WIRING
TEST TAG
LIGHTING INST
DATE TESTED
COMPANY TESTING
NAME OF TESTER
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FORM DISTRIBUTION: WHITE PY - JOB FILE YELLOW COPY - CITY
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420„ • (952) 881 -7739 TEST RECORD
ADDRESS.
OCCUPANT
SOLD BY
MAKE 1"A1(P'
SERIAL NO 4/-‘7°7,1 ! ? INPUT s ��
THERMOSTAT /�
VALVE w //`�
LIMIT / `' )C
LIMIT SETTING
FAN SETTING rte WIRING / /' r�t C) WC,
PILOT TYPE ' 4l
�
IGNITION MODEL 5�
PILOT TIMING S 9C—
PRESSURE � Is`_ PERCENT CO2 [l/ ' -
INPUT CFH PERCENT 02 7,
STACK TEMP. 3,0 PERCENT CO
FORM 235 (REV. 6/08)
ITY EA-CA-13
/
v' EA '1Q0 3C, lip
INSTALLED BY ✓ W kL
MODEL
JOB NO
325)1 31
VENT SIZE
TYPE OF LINER
LINER SIZE
V eer
FILTERS SIZE
NAME OF TESTER
NUMBER
1
TEST TAG
LIGHTING INST.
DATE TESTED 0-57 /
COMPANY TESTING .e
/mac ‘1
DISTRIBUTION: WHITE 4;"°/i7/1
PY -JOB FILE YELLOW
FORM DIS COPY - CITY