HomeMy WebLinkAboutHeating Test Record SEDGWICK HEATING & AIR CONDITIONING CO HEATING �oa No.�/ 1v
1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 •(952) 881-9000 7EST RECORD
ADDRESS (� � / �7 ��� �G�' f �"'� / r' ' '� �-� �o CITY �
OCCUPANT OWNER �
SOLD BY � ` INSTALLED BY
MAKE �a�������`, MODEL (� l�- L ✓�C/ V`� �
SERIAL NO. INPUT�y �
7HERMOSTAT r°r-����6 VENT SIZE •� N ��C
VALVE �n,Iv,�i' ��/� �' S TYPE OF LINER � I ci SS
LIMIT �� 1��'l�'1.o LINERSIZE / �!
LIMIT SETTING �I � 3 f�� FILTERS: SI /�•��` �,�� NUMBER �
FAN SETTING �� ✓� WIRING "' �� �'���G
PILOT TYPE � �- TEST TAG ��`J
IGNITION MODEL � IIGHTING INST. ` _ �
PIIOTTIMING /��� >��J����
q DATE TESTED
PRESSURE PERCENT CO � I �
INPUT CFH � _ PERCENT 0 '7- � COMPANY TESTING '� "� �� �
STACK TEMP. � p PERCENT CO � NAME OF TESTER ��%`a�. �
FORM 235 (REV. 10/10) FORM DISTqIBUT�ON: WHITE CAPY • JOB FILE YELLOW COPY • CITY