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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