JobName
JobLocation
Installer
UnitModelNo.
SerialNo.
Heating Section
Electrical Connections Tight?
Line Voltage
Blower Motor Amps
Fuel Type: Natural Gas? []
[]
Job No.
City
City
Technician
Blower Motor H.P.
Gas Piping Connections
Tight & Leak-Tested?
LP/Propane Gas? []
Date
State
State
D
Furnace Btu Input (High fire)
Low Fire Manifold Pressure
High Fire Manifold Pressure
Flue Connections Tight?
[]
w.c.- Nat,:
w.c.- Nat,:
Line Pressure
__ w.c. - LP/Propane
w.c. - LP/Propane
Proper Draft? []
Combustion Gas Tested (high fire and low fire)?
Blower ON delay confirmed? []
(45 Seconds Fixed On)
Blower OFF Delay Setting (60, 90, 120 or 180)?
Filter Clean & Secure? []
Thermostat
Heat Anticipator Setting?
[] 002 [] CO
External Static Pressure?
(0.8 maximum)
Temperature Rise
Thermostat Level? []
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