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1012 Diffley Rd - Heating Test Record' HOUSE HEATING TEST RECORD 3?s-l5 ADDRESS `? - APT.-FLOOR? CITY?UBURB OCCUPAN7 aY' OWNER HEAT LO55 DATE HTG. INST. SOLD BY Elechical Werk By TYPE OF HEAT GA _ FA -HW -STEAM INSTALLED BY _Gas Lina By SPACE HTR. _ GAS DESIGN MAKE Cu?r??r MAKE OF BURNER _ Model ` JIJ Modsl Smial 0% ?P Max. BTU Rating - INPUT I V MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plup Valva 736 l(mlt Yll (/(K"} Limit $eNiny Fon SeHing PilotType ???f Pilot Moke 4EA rYoe v- Pilee Medal L- f 3 W 34- Pilot Timina ? ' L L.W. Cut Off t ? Proseura z J? it/L Parcenf COZ Input CFH? ? S Peresnf OZ $toek Tamp. ??/ ' Parcant CO Venf Size 1y?G ?- CONVE R51 ON KIND OF LINER SIZE NONE Draft Hood / j Reguloior Filisrs Size 16 ^? ^Z Number Z Chimnsy Location Chimnay Construetien Oufside Smoke Bo m b Wiring ? A ' Droft J??w?rG % Test Tag - Doer Pressure C ?7 Lighfing Inst,g,' _ Date Tasted Company Testing LC[_. W"? Name e1 Tester C ` •?? UNIT HTR. -OTHER Form 235 ADDRE55 D D .19I0LY APT.-F100R_ OCCUPANT 00 'e"J' JI'NRl-Ikl OWNER HEAT LOSS DATE HTG. INST. 3?sti5,,`- ?? CITY V" SUBURB SOLD BY we'AL1,0e C- INSTALLED BY _ t Elechical Work By Gas Line By ? i TYPE OF HEAT GA-FA -.&-HW -STEAM SPACE HTR. _UNIT H/R. ^ruFo GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modal yDZE O?'r -S ? Model Ssrial 0 da6n?loa170 Max. BTIJ Rotfng ? INPUT ?LS 7c'e-) /g Ti? MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Vanl Sizs , Valra 16tL Limlt -1 Limit $etting? ' U Fan Setfing Pilof Type Piloe A1oks Pilot Modsl t-_7ci 3' Pilot Timing 5eC_ L.W. Cut Off e' pi L Prassurs Psrcent COZ , Inpur CFH--Psreent p2 h $tack Tamp. Paresnt CO ? Fmm 235 HOUSE HEATING TES'C RECORD 17 KIND OF LINER SIZE NONE Draft Heod _ Regolaror Filfers Size 4?lumber Chimnsy Lecation Inside Outaida Chimney Conslrucfion $moke Bo.mb Wiring y ', L?^J _ Draft .?'° V(/,C?L Test Tap?? . Door Pressura `f Lightinq Inst. ? Data Tssted Company Tesfing ?C Name oF Tesler ' HOUSE HEATING TEST RECORD ADDRE55 APT. v FLOOR _CITY 14SUBURB OCCUPANT OWNER HEAT LO55 DATE HTG. INST. SOLD BY INSTALLED BY Elacfrical Work By Gas Lins 8y - J TYPE OF HEAT GA _FA _HW _STEAM -SPACE HTR. UNIT HTR. _OTHER GAS DESIGN CONVERSION MAKE CG?rrI?Cr MAKE OF BURNER Modsl Model Ssrial 6 77 Max. BTU Rafing INPUT MAKE OF FURNACE ? Medel CONTROLS THERMOSTAT Heot Plug Vent Si:e Valve 29 6- a? KIND OF LINER SIZE NONE Limit / Draft Hood Regulaior Limit 5effin9 Filtars Si:e Number Fon Satfing W Chimnay Lecofion Insids Oufside Pilef Type SQktr Gimnsy Construction PiloeMok. GCA rYY? t'.n' PilotMedal /p?3-rov 3A- SmokeBom?b -Wiring -?? Pilot Timing /? ??- Draft Test Tog L.W. Cut Olf Door Prassute c' Li9hting Insf. / Prossure ,rW `' Pocent CO Dale Tsaeed Y Q 7 I Input CFH Parcenf OZ ? k Company Tesfing / Stack Tsmp. -Paresnt CO ? I" Name of Tesfar Fwm 235 I HO^USE HEATING TEST ADDRESS fO/U Qi?PI?R1! APT.? OCCUPANT Oi ZC4- ?iPo^& #- OWNER_ HEAT LOSS - SOLD BY Eleetrieal Werk By TYPE OF HEAT GA-PA HW_STEAM SPACEHTR. UNITHTR. OTHER GAS DESIGN CONVERSION MAKE MAKE OF BURNER Modal y? 4w,&Model . Serial GL d Max. 8TU Rating INPUT MAKE OF FURNACE Modsl CONTROLS THERMOSTA7 Heat Plup Valve Limit SeHing ',;ko , Fen 5etiing T Pilot Type Pilot Maks Pilot Modal "GN 37 3 11, Pilat Timing L.W. Cor Off ?- 7t Pressure ?,.;2 ??-Pareent CO2 Date Tsated - InpueCFH?2Paresnt OZ CempanyTesting Slack Tsmp. J?? Paresnt CO Name oF Tester _ DATE NTG. INST INSTALLED BY - Gos Line By Vanf Size ?/ k-e G KIND OF LINER SIZE NONE Draft Hood Reguloror FilTsrs Size' ? Number ? Chimney Location Chimney Construcfion Inside Oufside $meke 8em6 ?- Wiring Draft ?n?/tj? Tast Ta?? Door Pressure Lightinp Inst. 4ogJL _ RECORD 3?or _FLOOR CITY64?74AUBURB Fmm 235 HOUSE HEATING TEST RECORD 391-5 ADDRE55 APT ? FLOOR CITY4'"S OCCUPAN7 . OWNER UBURB HEAT LO55 DATE HTG. INST, SOLD BY INSTALLED BY Elacfricol Werk 8y Caos Line By TYPE OF HEAT GA-FA HW -STEAM -SPACE HTR. UNIT HTR. _OTHER GAS DESIGN CONVERSION (Ur??? MAKE MAKE OF BURNER Modal ys?- 7-)C? BL) 5- ?3_11 Madel dc/0 d $erial Max. BTU Rating / INPUT?? MAKE OF FURNACE Model CONTROLS y? 1 41 THERMDSTAT Heae Plug IYL Vsnt Size Volvs 3 KIND OP LINER SIZE NONE Limit j ikele-L DrafT Heod Regulator Lfmi75sHinq 90 ° -z Filtsrs SizeieXas??-- Number Fan Setfing Chimney Location Inside Owaide Pilot Type ? Chimney Construetion Pi1ot Moka ?- 7 Pilof Modal $moke Bemb ?? Wiring Pilot Timing Draif ?00e-!/_4 Test Tag?- L.W. Cut Off Door Pressure Lighting Inst. 7 C( /Prossure ? ?C Percent CO S? Date Tssted /X/ {{{ c 2 Inpuf CFH -Psresnt 02 ? Company Te:ting S1ack Tamp.Parcenf CO G ?A Name of Tester ? Form 235 ' HOUSE HEATING TEST RECORD ADDRE55- 10 'C) pi??I e?? APT. n FLOOR_ OCCUPANT _, ? e?? m? t OWNER HEAT LO55 DATE HTG. INST, SOLD BY Elatfrical Werk By TYPE OF MEAT ??SJ CITY ??"SUBURB INSTALLED BY Gas Line By GA-FA_HW-STEAM-SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE (4?Ar r? MAKE OF BURNER Model y E?Qs'SW Modal 5«ial 0!2 53 02? 2- Max. BTU Roting INPUT '*/S40ev 13 Tv MAKE OF FURNACE Modal CONTROLS - Hsat Plup Valra dn Llmit 0 Limif SaHiny Fan Seffing -Mu Pilot Type PilotMoks Gur???r Pilet Model 3? ?)_? Pilot Timing L.W. Cut Off Pressure d- ?C PareentCO2 InputCFHzz fi Peresnt 02 ? E, Stnek Tamp, i 7? ? Paresnt CO ? Fo,m 235 Vsnt Size VI reG KIND OF LINER SIZ?Ey NONE Druff Heod Regularor Filters Size Numbar ? Chimnsy lotation Chimney Construction Outafde Smoka Bom6 Wiring Droff TesT Tap Door Prassure Lighfiny Inst. Date Taatad Company Testing Nama of Tsster ? • HOUSE HEATING TEST RECORD ADDRESS!`??'v APT.! FLOOR_ OWNER HEAT LOSS DATE HTG. INST SOLD BY Electrical Work By INSTALLED BY Gas Lina BY . TYPE OF HEAT GA-FA ' N HW -STEAM -SPACE HTR. _UNIT HTR. _OTNER GAS DESIGN CONVERSION MAKE rr'? 5 ?-- MAKE OF BURNER Model Modal Swial Max. 6TU Ratiny INPUT MAKE OF FURNACE ? Model CONTROLS THERMOSTAT Heat Pluq Va I rs Limit ? Limit Setting Fan se«,n, T/JI Pilot Typs `2(?l Pclet Maka ? Pilot Modsl ` 40 Pilot Timing L.W. Cut Off -- Vanf Size O)YeL+- KIND OF LINER SIZE NONE Droff Heod Reguletor j12-5-3 Filhn $ize 572, Num6er ::Z- Chimnsy Lecation Inside Outafda Gimnsy Conslrucfion $moke Bom4 Wiring 46e?1'/ Draft Tsst Tag IAIIIS Dom Pressure / Liphtiny Inst. Prossuro `r ?C" Parcanf CO 2 Daro Testsd lf?5/?0 .? Input CFH Psrcenf 0? 912 Campany Testing ? 51ock Tamp• Parcent CO ? Name oF Tester ?CSL15,' CITY 4//SUBURB Form 235