2165 Meadowpine Blvd.
Burner S/N. or Model:
Installer name:
Company:
Address:
Phone:
Owner Name:
Address:
Phone:
Appliance:
Installation date:
Fax:
E-mail:
Nozzle info: Pump pressure:
Turbolator setting:
Draft overfire: Draft breech:
Air setting:
CO
2
: CO: O
2
:
Smoke density: (Bacharach)
Single line:
Two lines:
Burner Start-up Info (OIL)
*
This form was designed and provided in the installation manual for reference and also for providing tech-
nical information which can be faxed or mailed to our technical hot-line coordinator when technical assis-
tance is required. Please complete this form, fax it or mail it at the address/fax above, or send an e-mail
with the information listed below to: techservices@riellocanada.com
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