3223 Evergreen Dr 2009-05-01 Heating Test
SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.-2/ 0- 0I55
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881-9000 TEST RECORD
3
Z2
ADDRESS - / CITY
tiff'
OCCUPANT OWNER
SOLD BYGG______- V INSTALLED BY
MAKE MODEL (V 3%
0 SERIAL NO. sA / o q ;L INPUT
THERMOSTAT sloo VENT SIZE
VALVE V& t TYPE OF LINER
LIMIT LINER SIZE
(_L NUMBER
LIMIT SETTING FILTERS: SIZE
FAN SETTING ( WIRING b
PILOT TYPE TEST TAG
IGNITION MODEL LIGHTING INST. L
PILOT TIMING L a
DATE TESTED -
PRESSURE PERCENT CO2 ~~l
/(J
INPUT CFH PERCENT O2 COMPANY TESTING
STACK TEMP. I_a PERCENT CO NAME OF TESTER
FORM 235 (REV. 11/89) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY- CITY