2855 Eagandale Blvd - Orsat Testr? S
410 W. LAKE ST
MINNEAPOLIS, MN 55408-2998
612/824-2656
F.
OCCUPANT (U ,,.
DATE HTG. INST
-23
GAS LINE BY
TYPE OF HEAT:
CCHEATING AND AIR CONDITIONING C0.
Serwiar The Twia Cities Sien 1930'
? ORSAT TEST CORD
-' ?rI
?
C I TY
? _. OWNER
INSTALLED BY
GA FA ,(/ HW STEAM SPACE HTR. UNIT HTR. OTHER
TT-
GAS DESIGN
MAKE ? MAKE
MODEL J6 Al MODEI
SERIAL MA?f.
I NPUT ? MAKE
CONTROLS
OF
CONVERSION
1072 PAYN E AV E.
ST. PAU L, M N 55101-3892
612/772-2449
CA.? a., 4. 1,[ c fr -f+J pk "] 1
BTU RA
MODEL
(Z
(L
THERMOSTAT
J
- HEAT PLUG VENT SIZ E
VALVE t-c1 KIND 0'F LINER SIZE 5 NONE
LIMIT ?(Z DRAFT HO OD ? REn ATOR
LIMIT SETTING CHIMNEY CONSTRUCTION v
FAN SETTING D`u? `l D" DRAFT TEST TAGUVl ?
PILOT TYPE LIGHTIN6 TNST.
PILQT MAKE
PILOT MODEL
r
PILOT TIMING
PRESSURE -5:-!?o PERCENT C02 3 DATE
INPUT CFH ?'U6'? PERCENT Q2
STACK TEMP. PERCENT CO NAME
TESTED
OF TESTER ?J?
. ,
410 W. LAKE ST. 1072 PAYNE AVE.
MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892
612/824-2656 EaTIMG AND AIR COr?DITI01+I1NG CO 612/7 72-2449
'Servier T6e Twin Ctiiea Sioct 1430'
ORSAT TEST RECORD
AODRESS -,A-c CITY
--- ---- Y -
, ? '
DATE HTG. INST. INSTALLED BY r c -.- -,
GA5 LINE BY
TYPE OF HEAT: GA FA HW STEAM SPACE HTR. UNIT HTR. IkTHER
' ?AS DES?IGN CONVERSION , ,, ?? ? hMAKE OF Bl1RNER ?
MAKE 1" < ?,
,
MODEL_?r r)fO f2 G/ Z i=-? ?'MODEL
SERIAL f?2 /T(2pzC, MAX. BTU RATING ' 'INPUT c? _0 Ge ° MAKE OF FURNACE
CONTRaLS MODEL y
THERMOSTATHEAT PLUG VENT SIZE
VALVE ? KINQ QF LINER '?•, 7SIZE/fNONE
L I M I T DRAFT HOOD REGULATOR
LIMIT SETTING ;7Up CHIMNEY CONSTRUCTION
FAN SETTING C%' DRAFT A. c TEST 7Af, ?,i,
PILOT TYPE LIGHTING NST, c-
PILOT MAKE
PILOT MODEL ?
,
PILOT TIMING
PRESSURE PERCENT
INPUT CFH PERCENT
?TACK TEMP. PERCENT
? DATE
02
CO NAME
TESTED
OF TESTER