Freestyle 80 - Installation and Service Certificate; Boiler Start-Up Data Recording; Installer Completion Certificate

W-T
8201 W. Calumet Rd.
Milwaukee, WI 53223
Part number 550-142-850/0716
128
FreeStyle
®
WALL MOUNT GAS-FIRED WATER BOILER — Boiler Manual
Boiler Start-Up Data
Boiler Model / Series FreeStyle® ________ / Series ____
Date installed ________________ CO
2
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Part Number ____________ FUEL: Natural ____ LP ____ Btu Input ___________________ 
Natural gas input rate measured HIGH________ CFH / LOW________ CFH
38 
Boiler model _______________________________________________________________ Series ____________
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 certified to be correct.
Information received and left with owner/maintenance person.
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