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Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
MAINTENANCE LOG
Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
Date of Service ____________________
Serviced By ____________________ __
Service Performed
Inspect Venting
Clean Burner & Firebox
Clean Control Area
Clean Convection Air System
Leak Test Gas Connections
Other __________________________
We strongly recommend that you keep a log of the regular maintenance that is performed on your
fireplace. We have provided the forms below to make it easy. Simply ask your qualified service per-
son to fill out one of the maintenance record forms below, each time the fireplace is serviced. This
will help insure that all of the required maintenance procedures have been completed, at least annu-
ally. Regular maintenance will help keep the fireplace functioning in a safe and reliable manner.
Additional forms are available from your installer or service person when needed.
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