Freestyle 2 Series - Installation and Service Certificate

Part number 550-142-950/0122
FreeStyle
®
series 2 wall mount gas-fired water boiler – boiler manual
Boiler Start-Up Data
Boiler Model / Series FreeStyle
®
________ / Series ____
Date installed ________________ CO
2
@: High re ______% Low re ______%
Part Number ____________ FUEL: Natural ____ LP ____ Btu Input ___________________ CO @: High re ____ ppm Low re ____ ppm
Natural gas input rate measured HIGH________ CFH / LOW________ CFH
42 Installation and Service Certicate
Boiler model _______________________________________________________________ Series ____________
Consumer Protection (CP) Number ________________________________ Date installed ____________________________
Measured Btuh input ____________
Installer _______________________ ______________________________ ____________________________
(company) (address) (phone)
_____________________________________
(installer’s signature)
Installation instructions have been followed.
Checkout sequence has been performed.
Above information is certied to be correct.
Information received and left with owner/maintenance person.
Installation and service certicate