1016 Diffley Rd - Heating Test RecordHOUSE HEATING TEST RECORD
ADDRESS `h /T.CI/ .APT._I_FLOOR_
OCCUPAN7 AI ttl_MGhl -e OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY INSTALLED BY
Eleefrical Werk By ins Line By
TYPE OF HEAT GA_FA _HW-STEAM _SPACE HTR. _UNIT 14TR. _OTHER ^
GAS DESIGN CONVERSION D
MAKE ?u MAKE OF BURNER
Model /J? G?d0 r? Model
Ssriol 7p p6-?Qa'gE Mox. BTU Roting
INPUT ?I S4 U?V MAKE OF FURNACE
Model
Form 235 CITY ? '41?
CONTROLS ?{L ? \
THERMOSTAT Heaf Plug Vent Si:e
Valva KIND OF LINER SRE? NONE
Limit mB _ Drait Hood _ Regulator. J?S - 7
Limit Sstting 4 Filfers Si:e &' ;a'S {?-Number ?
Fan Sattin9 Chimney Lo<ation Insida Oue:ide
Pilet Type L? Chimney Consiruction
Pilot Make FI
Pilot Model y ???? UG3 Smoke Bom6 _ __ Wiriny
Pilot Tlming ?? Dra(i Test Tog C-`
i
L.W. Cut OfF ? Door Pressure '-
f?w lighriny In:t. /
Preasuro ? G Psrcent COZ r C ? Date Tssted j//?/??X
Input CPH Percenf 02-7?1A .s.L?.??f/'-'- Company Testing u"? ?L L-
Stoek Temp.-?Psrcent CO ?/"?-'-?7 Name oi Tee/er T
UBURB
Y//
?/? HOUSE HEATING TEST RECORD ? 6
ADDRE55 `O/? ??"' / .APT.?FLOOR CITY JA? BURB
OCCUPAN7 . r t'a} YNCrJ?%"f'-' OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY
Eleetrieal Work By
INSTALLED BY
Gas Line By
TYPE Of HEAT GA_FA_HW_STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN
? CONVERSION
MAKE
?r??? MAKE OF BURNER
b6 S -?/ ?
Model F
E Model _
p
?
Ssrial QU?3 ? Mox. BTU Roring
INPUT ,'??.a?v ?* ? MAKE OF FURNACE
Model __
CONTROLS L
THERMOST T?- Heat Pluy
? Vent Si:e Pi ?""rC T
U?Ix-
Valve 3 KIND OF LINER SIZE NONE
Limit ? yi"C Ale ? Droh Hood _ Regularor
LimitSefting ?-2G Filters Size1????A.1-_Num6sr ?-
Fan SeHing Chimney Lowfion Insida Oufside
Pilof Type Cr Chimney Consirucfion
Pilot Maks
rr«r
!
Piloe Medel L 3S Smoke Bomb
-
_
?
?
y??'
C
Pilot Timing Drofl _-
C Tazl Tag_
L.W. Cuf Off Door Press?re Ligh/ing Inst. ??
1
3 <<??- ? ? "?
Preasuro ? Percent C0 ?? v ?U
Date Teseed
2
Input CFH ?r Percent O?
Z
Company Testing
y? '
Slack Temp. 3Percent CO Name ef Tester ?
Form 235 . -.
ADDRE55 '0I17 / D HOUSE HEATING TESTq RECORD
_ I ??I?v,?- ?T
.APT. _FLOOR _
OCCUPAN7 OWNER
HEAT LOSS-
SOLD 8Y
Elsetrical Work By
TYPE OF HEAT
DATE HTG. INST.
GAS DESIGN CONVERSION
MAKE ??? '?r MAKE OF BURNER _
Model 149 ? GQ Model _
Sariel v G Q ,_,?,-- Max. BTU Roeing
INPUT Q? ?T?? MAKE OF FURNACE ?
Model
CONTROLS
THERMOSTA7 ? Heof Plug
Valve ,tit ?Z
Limit
Limit Setting-1'd!
Fan Sefting
Pilot Type
Pilot Make ?{ r
Pilot Model L ?/? WF <
Pilot Timing !IV X ?
L.W. C.t OFf ?-
Prsssura 3, ? L Psrcenf CO2
Input CFH? /' / Pereent 0? ?
Stack Tem - Per<ent CO
Vant Size IYYL ?
INSTALLED BY
Gas Line By
GA _ FA _HW -STEAM SPACE HTR. _UNIT HTR. _OTHER
KIND OF LINER SIZE NONE
Draft Hood _ Rsgulaior :32-S-"5
Filtsrs Sixe /?'?1.a-5-X?_Number -2
Chimney Locvlion
Chimney Consiruction
Oufside
Smoke 6omb _W{riny _
D
ra(f Tag
Door Pressure
Lighting Insf. ?.
Date 7eseed 11' f 0 (;;-
Company Tesring k''fvZ-C L
Name of Tester ??C-
3SL16
CITY : -.SUBURB
Fo.m 235
? ?.-.
HOUSE HEATING TEST RECORD 33'-i6
ADDRESS L9 tb pI IV .qpTA FLOOR CITY+"'•"'"SU8UR6
OCCUPANT i OWNER
HEAT LO55-
SOLD BY
Electrical Wor4 By
TYPE Of HEAT
DATE HTG. INST.
GA _ FA _HW -STEAM
-INSTALLED BY
-.Gas line 8y
SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN
MAKE aAr MAKE OF BURNER _
Model 119 T P?F 00 .5 '-S-1) Model -
Ssrial 060 r a6_ /59 p Max. BT'U Rating _
INPUT u?.?. oev MAKE OF FURNACE
THERMOSTAT
Valve
Limit
LimiT $aHing _
Fan Setting -
Pilot Type _
Pilot Make _
Pilor Medel -
Pilot Tlming _
L.W. Cut Off _
Model
CONTROLS
- Heaf Plvg Vent $ixe
KIND OF LINER SIZE '7 NONE
.. Draft Hood _ Regularor '2cr-??' ?
Filfars Sixe b?? _Number ?
Chimney Locafion Inside Outside
Chimney Consnvttion
^? !l
Pressura NO'
kt, Parcenf CO2 i /7
lnput CFH ? ? Pmcent 02
Slack Temp. Percenf CO ?
F«m 235
$moke Bo+?ryl? _ urJ? _Wiring _?
Draft ,rrN Vv Tesf Top
Door Pressure Lighfing Inst. ?.T?
Date Tested
Company Tesling ?N
Name oF Teefer / '
HOUSE HEATING TEST RECORD 7U"f t.
A DRE55 101b Dj"''-e_V 4 V'6-AXI
D .APT. _PLOOR _ CITY SUBURB
OCCUPANT ?l' ? - ? - OWNER
HEAT LOSS DA7E HTG. INST. SOLD BY INSTALLED BY
Elactrical Werk By 'uas line By
TYPE OF HEAT GA _ FA _HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE C'Ur r MAKE OF BURNER
Model fS7r' E(/? -_5-tj Model _
Ssrial 3k::) ?5? Maz. BTU Rating
INPUT 11!j?04-r 7V MAKE OP FURNACE
Model
CONTROLS
THERMOSTA ? Heor Plug
Valve
Limit ~170-1,
Limit SeHin9 _j n -
Fan SetHng
Pilet Typa
PIIotMake
Pilot Model k 33?''GGt
Pilot Timing 90 5'1-0 C-
L.W. Cut Oif
Vanr Size
KIND OF LINER SIZE,3,,.NONE
Drofl Hood _ Regularor
Filfers Sixe fh X?? 7?.Z_Number ?
Chimney Location
Chimney Conslruction
Insida Outside
Smoke Bomb _Wiring
Dra(t Tssl Tap'
Door Prossore ? Lighfing Insf. i?
' L Psresnt COZ ? Date Teseed Z ?1 ?
Prossurs ?
Inpul CFH rS Percenf O?-J? Cempany Testing
Stack Temp. 377 Peresnt CO ? Name of Tester
Porm 235
? -. ,
HOUSE HEATING TEST RECORD
ADDRE55 `OJ? D/APTA-_ FLOOR_
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST
3??6
_arr ?'??uauRs
SOLD BY INSTALLED BY
Elechical Work By Gas Line By
TYPE OF HEAT GA _ FA -/YNI-HW _STEAM -SPACE HTR. UNIT HTR. -OTHER
GAS DESIGN • CONVERSION
MAKE -MAKE OF BURNER
Modsl Model
Smial r ? Mkx, BTU Raflna
INPUT /3 v MAKE OF FIJRNACE
Model
CONTROLS
THERMOS T Haat Plup
Valva
Lim{t 01 ie •(--
Limif $sNiny ..
Fon seftin9 1I?Y
Pilot Type
Piloe Mok.
Pilet Medsl
Piloe Timing
L.W. Cur Off
Prsssure Pertanf COZ t m Duts Tsseed _
Input CFH Paresnt 02 ? '? Company Testing
Stuck Tamp Psrcant GO 0-T 4et) Name oi Tester _
Vsnf $i:e D 1 ?L t-
KIND OF LINER SIZE NONE
Draft Haod Reguloror ?s-3
Filfsrs umber g;"z
Chimnsy Lototion Insids Outsids
Chimney Construefion
Smoke Bomb Wiring JS
Draft ?N UGe Test Tag ?•Door Pressure ------- --_T_Lighting Inst. ? -
Form 235
HOUSE HEATING TEST RECORD
ADORESS r??b 014-1 In .APT.& FLOOR_
OCCUPANT qFFLe7 mro`) OWNER
HEAT LOSS _
SOLD BY
Elsctricel Work By
TYPE OF HEAT GA _ FA
INSTALLEDBY ?/ yA //7 ?./
.Gas Line By ?L??T-
HW-STEAM -SPACE HTR. _UNIT HTR. _OTHER
/ ?.• GAS DESIGN CONVERSION
MAKE `'?-'? r` MAKE OF BURNER.
Model y F&CitJ ? "' ? Model - ?
$srial Max. BTU 7Ralinq
INPUT 4? MAKE OF RNACE
Model -_CONTROLS
THERMOSTAT
Volve Heat Plug
Limif ?
Limit Satting ?
Fan Setring
Pilot Type
Pilot Make
Pilot Model 33 w c?3?
Pilot Tlming
L.W. Cue Off
Vant Si:e 4L/`^LG 1
KIND OF UNER SIZE NONE
Draft Hoad _- ? Reguloror
Filfsrs $'ze /bAo?-7 ?_Num6er
Chimney Loca}ion
Chimney Consiruclion
3BL16
CITY rSUBUR6
Outside
Smoke Bom6 _?7? _Wiriny _
Draft ?/Ll/(?Tck Tast Top
L ?
Door Pressure Lighting Inst.
Pressws 5?A1,v L Psrcenf C02 Date Testsd 69-
Input CFH ?!S Per<ent OZ ? Company Testing 2
$tack Temp. 3?l p? Percant CO ? Name of TesPor
DATE HTG. INST.
Ins
Form 235 ? ? -.
• ???6
HOUSE HEATING TEST RECORD
ADDRE55 / I D4T lY t APT. A FLOOR CITY ?SUBURB
OCCUPAN7 ? {hi I OWNER
HEAT LOSS DATE HTG. IMST.
SOLD BY
Elactrical Work 8y
TYPE OF HEAT
INSTALLED BY
.Gas Line By
GA_FA_HW STEAM SPACE HTR. _UNIT HTR. _07HER
GAS DESIGN CONVERSION
MAKE C MI?G MAKE OF BURNER
Modsl L11R 6 "5 11 Model -
Ssrial Max. BTU Ra?ing
INPUT S(U?IJ ? V MAKE OF FURNACE
Model ----
Volvo ?
Limit ? )14-e
Limif SoHing ?1
Fan Sening _f?J
Pilof Type ?
Pilot Make Gcw`v
Pilor Model?
Pilot Timing -?
L.W. Cut Off ?-
CONTROLS
- Heaf Plug Venf Si:e
KIND OF LINER SIZE NONE
DroF} Hood Regularor 3?"yZ
Filters Sixe _Number.
?
Chimney Loeation Insida Outaide
Chimney Conshuceion 11 Prosaure ??C Psrcenf C02 6
Input CFH ?pPeresnt Oz b X'?
Stock Tamp. 37? r Percant CO 10 ,"
$moke Bom6 _ , 'J _W{ring
Dwh _??v//GL Te:t Tog
Door Pressure v Lighling Innt. ?
Date Tasted // ,?(S O
Company Testing ZC
Name ef Tester ?
Ferm 235 - -.
. HOUSE HEATING TEST RECORD
ADDRE55 ?/016 if Ir?y APT. A FLOOR _
OCCUPANT y1 L/' MA4eT OWNER
HEAT LO55-
SOLD BY
Elecfrical Work By
TYPE OF HEAT
?FS?ld??
CITY ?'A?vSUBURB
INSTALLED 8Y
Gas Lins By -
GA-FA-HW-STEAM SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE la MAKE OF BURNER _
Model Modsl
Smial ?ZS r Max. BTU Roring
/
INPUT / MAKE OF FURNACE
Medel
CONTROLS
THERMOSTAT
Valve Heat Plug
Limit
Limit SaHinq
Fan Setting ?
P,l„ Trpe SP?I
Pilot Maks V-
Pilot Modsl L ,-??? L????
Pilof 7iming ?? ?
L.W. Cut Off
Vent Size I r-eG 1-
KIND OF LINER SIZE NONE
Draff Hood Regularor 3? ??
Filtsrs $izea-- Number ?
Chimnsy Locotion Inside
Chimnay Conziruction
Smoke Bomb ?- Wiriny ?1_
Draft ,?PwVc_rg Test Top__?' '
Door Pressure + Lighting Inat.
Prossuro Psrunt COZ 61 ) Date Tested 401 Input CFH?Peresnt 02ip2yL-6/y? Company Testing ?NZe
Stock Tsm € Psresnt CO ' Name of Tester - S?
DATE HTG. INST
Form 235