4096 Meadowlark Rd - Heating Test RecordSEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952) 881 -7739
A A)
ADDRESS %2? ICA ' � CITY
i y� -
OWNER /'
OCCUPANT
SOLD BY
MAKE
SERIAL NO
VALVE
LIMIT
FAN SETTING
FORM 235 (REV. 6/08)
7) I/o1,sCA IL-
S O1' 1Ho?oV36 1
THERMOSTAT ///41
¥3 (k S e -\/
LIMIT SETTING
E
PILOT TYPE 1+ ■
IGNITION MOTEL
i /
PILOT TIMING II\ -Crrvi� V
PRESSURE c PERCENT CO (0‘ 9
INPUT CFH GC ( Wo PERCENT 0 7-1
STACK TEMP. �E � � 0 PERCENT CO 0
INSTALLED BY
INPUT
VENT SIZE
COMPANY TESTING
NAME OF TESTER
HEATING
TEST RECORD
M OD E L N Xi
cr
TYPE OF LINER CI
e I(
LINER SIZE
FILTERS SIZE I C-e X 2 1- NUMBER
WIRING l �v-
TEST TAG
LIGHTING INST. W"
DATE TESTED t1 I t <°
JOB NO r/ 70 :7
FORM DIST IBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY