INSTALLATION & COMMISSIONING REPORT
Water Heater Details:
Model Number _____________________ Serial Number ______________________________________________
Date of Installation ______________ Address of installation __________________________________________
_____________________________________________________________________________________________
User contact information _______________________________________________________________________
Installer Information Company ___________________________________________________________________
Address ______________________________________________________________________________________
Phone/Fax/E mail ____________________________________________________________________________
__
Fuel
Natural Gas
Propane
Gas Supply Pressure (high re) _______ Inches w.c. Measured Rate of Input (high re) ____________ Btu/hr
Installation instructions have been followed and completed (Section 1 of Installation and Operating Instructions).
Check-out procedures have been followed and completed (Section 3 of Installation and Operating Instructions).
Leak testing completed
gas piping
venting system
Fan and combustion components
Air purge completed
Relief Valve correctly installed and piped
Relief valve “try lever” test performed
Condensate trap lled
Condensate drain clear and free owing
Condensate Neutralization? Yes/No
Ignition Safety Shutoff test completed. Flame current reading - High re _______ µA - Low re _______ µA
Owner advised and instructed in the safe operation and maintenance of the unit.
Information regarding the unit and installation received and left with owner
Combustion Readings - recommended, but optional (required for fuel
conversion):
CO
2
_____________ % O
2
______________ % CO ____________ ppm
Flue temperature _________ Return water temperature (measure simultaneously with ue temp.) _______________
Installers: send this completed sheet - Fax to 604 877 0295 - or - scan and Email to info@ibcboiler.com.
Commissioning has been completed as listed on this report - Installer Signature _____________________________
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