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