6720818454 (2016/02) US SSB
54 | Commissioning log for the appliance
9 Commissioning log for the appliance
Please complete a separate log for each appliance.
(
Home owner/operator:
Last name, rst name Number, Street
Telephone/fax ZIP code, town
System installer:
Order number:
Appliance type
FD (Date of manufacture):
Date commissioned:
� Individual appliance
Installation location:
� Basement | � Garage | � other:
Room air only: Number and size of ventilation openings
Vent pipe routing:
� Twin pipe system (Rigid) | � Twin pipe system (Flex) | � Concentric pipe system | � Room air | � Sealed
combustion
� PVC | � CPVC | � PP | � 2 | � 3 | � 4 | � other: .......
Total length: Approx. ....... ft (m) | Elbows 90°: ....... Qty | Elbows 15 - 45°: ....... Qty
Flue tightness test completed: � yes | � no
CO
2 value in the combustion air at maximum nominal output:
O
2 value in the combustion air at maximum nominal output:
Notes regarding under or over pressure operation:
Get setting and ue gas test:
Gas conversion: � NG | � LPG (propane)
Gas pressure
“W.C.
(mbar) Gas static supply pressure:
“W.C.
(mbar)
Selected maximum output: MBH (KW) Selected minimum output: MBH (KW)
Flow rate at maximum nominal output:
gpm
(l/min) Flow rate at minimum nominal output:
gpm
(l/min)
Net caloric value H
iB (per gas supplier):
MBTU/ft
3
(kwh/m
3
)
CO
2 at maximum nominal output: % CO2 at minimum nominal output: %
O
2 at maximum nominal output: % O2 at minimum nominal output: %
CO
at maximum nominal output: ppm CO at minimum nominal output: ppm
Flue gas temperature at maximum nominal output: °F (°C) Flue gas temperature at minimum nominal output: °F (°C)
Maximum measured supply temperature: °F (°C) Minimum measured supply temperature °F (°C)
System hydraulics:
� Low-loss header, type:
� Additional expansion vessel
Size/pre-charge pressure:
Automatic air vent present?
� yes | � no
� Heating pump:
� Primary secondary piping
� DHW tank/type/number/heating surface output:
� System hydraulics checked, notes:
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