2805 West Service Rd - House Heating Test Record
HOUSE HEATING TEST RECORD CC,.r
` VI C c2 t ~/!r/
ADDRESS. 01 d APT. FLOOR _CITYSUBURB
OCCUPANT ' OWNER
HEAT LOSS DATE HTG. INST. Z ` -
SOLD BY 0-040 - INSTALLED BY C-PP-'
Electrical Work By Gas Line By
TYPE OF HEAT GA FA i- HW STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE Z GZl.? 0 Z MAK OF BURNER
Model ~-;kxq V Model
Serial D 2X~: % 3 tin, X ~7l~tJDt~ L Max. BTU Rating
INPUT ► L MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve e- 0 0.1 'a t 0 KIND OF LINER SIZE NONE
Limit L 17- 01~j Draft Hood Y-9: IReguloror M ~kI
Limit Setting h/J®F Filters Size Number
Fan Setting r. Chimney Location Inside K Outside
Pilot Type ~f ~ 1r1l Chimney Construction C~ J i
Pilot Make 920 9 i ~LI
Pilot Model Smoke Bomb Wiring Y16
Pilot Timing `V LC, C_
Draft Test Tag rif C
L.W. Cut Off Door Pressure Lighting Inst.
Pressure 3 ~ ~ Percent CO ~ 2 Date Tested
Input CFH / X S Percent 02 7-5 Company Testing
Stack Temp. 3 S Percent CO Name of Tester W64106 69-Z-V ° ~v~ Dam/ Q~~ ji7
Form 235
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HOUSE HEATING TEST RECORD
ADDRESS O k APT. FLOOR J_CITY~' "_7_, SUBURB
OCCUPANT --~i4 1>;7.tAI- 1097--- 55 (A_j -OWNER
HEAT LOSS DATE HTG. INST. 12- - 'f-® _
SOLD BY e- ID P !M 1 INSTALLED BY
Electrical Work By _ Gas Line By
TYPE OF HEAT GA FA _.Vi(-HW STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKES ow k- . MA BURNER
Model ` R2:7 P c~ Model
Serial ~ 0 2 ! 6 D S t7C)Ot~ 3~ Max. BTU Rating _
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size to fl . r
Valve C 'J1'LleIf-A1a~. 1 KIND OF LINER SIZE NONE
Limit L 1 V 0/Q Draft Hood a c!; Reguloror
Limit Setting f Q J4F Fi Itsrs Size Number
Fan Setting Chimney Location Inside Outside
Pilot Type S~r47✓7rh36' Chimney Construction C_[ A ,S
Pilot Make 140tJC', _(2 t4 1,C Ll•
Pilot Model V & IX 60 .4 ~L 00 Smoke Bomb Wiring Y~
Pilot Timing Zee, see- Draft E> f"i- Test Tag y ~
L.W. Cut Off Door Pressure Lighting Inst. 7*46~,k
s
Pressure- LAIC--PorcentCO 2 ID Dote Tested I ` 14- o I
Input CFH , Percent 02 7 Company Testing 0 2
10 147AE-
Stack Temp. - '7 F Percent CO I Name of Tester (AL '1111C /A 0 V47--;:7 2 D P 1_00 0,0 0
Form 235
HOUSE HEATING TEST RECORD ®e
I
ADDRESS ✓2S_( le ay- ✓1C6 rZ9 APT. FLOOR _CITY A SUBURB
OCCUPANT AL t P-0e- e9~rf?CZ C OWNER clia!( 91 50fj
HEAT LOSS DATE HTG. INST. 4-A--
SOLD BY e r).t!P N'1 _all INSTALLED BY CVRP 1'I6ed
Electrical Work By _ Gas Line By
TYPE OF HEAT GA FA VC- HW STEAM -SPACE HTR. UNIT HTR. -OTHER
Z GAS DESIGN CONVERSION
MAKE 7- k) u 1Z MAKE OF RNER
Model 3452,7-17D Model
Serial 17,9~1 F20 Max. BTU Rating
INPUT ~y• Jy-U MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve C~ ►"191"J A -7. 12tj KIND OF LINER SIZE NONE
Limit Lt ON Draft Hood X C Reguloror ily I
Limit Setting / tt~ Filters Size Number
Fan Setting t ° Chimney Location Inside 4 Outside
Pilot Type S ~A 62 1 f Chimney Construction C / A Sf 9
Pilot Make J:A011 C `s w +%I✓L
Pilot Model - V A l ool Smoke Bomb Wiring L
Pilot Timing 4_0 G Draft Test Tag yes
L.W. Cut Off Door Pressure Lighting Inst, !,4e3
Pressure. 7 LJ 4% Percent CO2 - Date Tested / )t U v /
Input CFH t Percent 02 (I-5 Company Testing e. 0 to Moe0
Stack Temp. Percent CO ' Name of Tester W.1 7d C 4C2VVjM z a L90 l poo') 0 $ ~
Form 235
C
~r HOUSE HEATING TEST RECORD
ADDRESS i7 ®g U/ SG 9- Vie G -APT. FLOOR -CITY SUBURB
OCCUPANT f"EQ-2 t ~a A/6/ OWNER IZ V!) Dtf n1
HEAT LOSS DATE HTG. INST. t1 d4- O'l _
SOLD BY C 0P. Y"►~CN INSTALLED BY C 134e Electrical Work By _ Gas Line By
TYPE OF HEAT GA FA __)~_HW STEAM SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE Z C, 2 0 y2, E OF BURNER
Model Model
Serial '?!a 0 7 -1 A: 0 ® L 9D - Max. BTU Rating _
INPUT 1 0 yl3U0 'a U MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size
Valve e_ p A,%6, Nr1r=a.4 KIND OF LINER SIZE NONE
Limit K L t -A QtJ Draft Hood y-d" S
Reguloror
Limit Setting i Filters Size Number
Fan Setting ` _ Chimney Location Inside Outside
Pilot Type C'r A 21 nl Chimney Construction
Pilot Make 1A ai C Y I.JETLL
Pilot Model - V 3 Oti `3 Smoke Bomb Wiring yC $s
Pilot Timing Cj S ~C Draft QK,_ Test Tog yocS
L.W. Cut Off Door Pressure q Lighting Inst. y[is
Pressure- • S Percent CO2 Date Tested L q "
Input CFH20 Percent 0 7- 2 Company Testing L Ole P 040
Stock Temp. -i_ -fF Percent CO Name of Tester WA 71,h5 & 10V 9:iL 1 ;LD,,Q/D0 On
Form 235
HOUSE HEATING TEST RECORD Al
ADDRESS 0,L%+' ~(Z 6 Cir R 0 APT. FLOOR ~ -CITY LSUBURB Lea
OCCUPANT P6%A-Ca12iA L eRtir,P"5511JV ~=~r2P OWNER Ro7`i 2t= "d
HEAT LOSS - DATE HTG. INST. I 2 - 9 ` 0
SOLD BY L 0 AP1> nA14-J tziC01 AW ICAIL INSTALLED BY ~'P°f44t ~ X4-+4
Electrical Work By _ Gas Line By
TYPE OF HEAT GA FA _XHW STEAM --SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE -I~iZ?tJ 0R- MAKE RNER
Model Model
Soria l 6 i u p P i f 3• ,4 i i t i AA i/ U Max. BTU Rating _
INPUT DOt3~ MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Size r:
Valve eI) r%,-, 8+N►'l~/''+~ KIND OF LINER SIZE NONE
Limit K 1. yl`t Draft Hood Regularor A f
Limit Setting Filters Size Number
Fan Setting l Chimney Location Inside !4 Outside
Pilot Type S-rA74 Chimney Construction CL A55 Q
Pilot Make ft 0+1ii-tL'aacLL
Pilot Model -V(Z 7;L-0194 )-®07 Smoke Bomb Wiring y d'S
Pilot Timing U 5 G~ns9 Draft ID K_ Test Tag lzt! -
L.W. Cut Off Door Pressure Lighting Inst, Y S
Pressure--7,#', Percent CO 2 7 Date Tested 1-2-114102
Input CFH /A- Percent 02 t' 1 Company Testing C /j I ?o 4 fr 0-i it & f-c 17a Stack Temp. -7 y~ f Percent CO 0 Name of Tester 1,a) 4;U zC 4.40
i~'J' 001 i2a0 ,0 9 I
Form 235
HOUSE HEATING TEST RECORD
ADDRESS 9 APT. FLOOR --CITY 44-41ASUBURB
OCCUPANT ~►~~I7tf~(LtAL P2.y~~sSt~Y OWNER ikt ,0i &4-5;.0t-J
HEAT LOSS DATE HTG. INST. _
SOLD BY C 0 t°eAa-TC r1 -"C#4 INSTALLED BY ~'R. iP ►'h~C't-f
Electrical Work By _ ` Gas Line By
TYPE OF HEAT GA FA _K_HW STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE 12 1--,
7- DA MAKE F BURNER
Model .32a aA ? D Model
Serial (10 10 "I ct oO t i _Z Max. BTU Rating-
INPUT MAKE OF FURNACE _
Model
CONTROLS
ie
THERMOSTAT Heat Plug Vent Size
Volvo r3 w4-9, 41 KIND OF LINER SIZE NONE
Limit r~N Draft Hood ! c~ Regularor AILI
Limit Setting ' t) " #7 Filters Size Number
Fan Setting Chimney Location Inside v Outside
Pilot Type I., Chimney Construction
Pilot Make 140 ICE 7,,a C u(„ y
Pilot Model - 1Z X00 :1_ Bomb Wiring i f
Pilot Timing " ~Lia_~ Draft -dK Lr S
Test Tag
L.W. Cut Off Door Pressure Lighting Inst, Y~ f
Pressure- 3 L'oG Percent C02 1► _ Date Tested d 1
Input CFH )L- g: Percent 02-~ Company Testing 00400 QA?e /1' ACqui
Stack Temp. S'%- Percent CO O Name of Tester JAM We 4-k 0V _fl_20 0 j011,9?00 2T^
Form 235