4173 Arbor Lane - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881 -7739
'4 l 73 /0ie-& rQ (- 0
ADDRESS
OCCUPANT
SOLD BY
MAKE
SERIAL NO. ,/ 1C _3 2 '
THERMOSTAT 0 P9 c
VALVE
LIMIT
LIMIT SETTING
IGNITION MODEL
PILOT TIMING
PRESSURE PERCENT CO - g
INPUT CFH Y PERCENT 02 7. 8
STACK TEMP. / 7 PERCENT CO d
FORM 235 (REV. 6/08)
CITY
OWNER
INSTALLED BY
INPUT K
HEATING JOB NO 3033 Q
TEST RECORD
G
Y c 4 Y?_
MODEL G1 1 H PP 3 ' 60--i o
VENT SIZE
Z
TYPE OF LINER v ��
LINER SIZE /
FILTERS SIZE /6 1‘ NUMBER
FAN SETTING / WIRING
I
� 7G
PILOT TYPE "�'P74 - !� 1 TEST TAG
LIGHTING INST.
COMPANY TESTING � i/CA
NAME OF TESTER 1 •
DATE TESTED
FORM DISTRIBUTION: WHITE COPY - JOB FILE
YELLOW COPY - CITY