MODULATING DELTA Model Number:
Serial Number:
Date of Installation:
Fuel: Natural Gas Propane
Measured Rate of Input:
Combustion Readings:
CO
2
O
2
CO
The following items were completed during installation:
Installation instructions have been followed and completed
Check-out procedures have been followed and completed
Information regarding the unit and installation received and left with owner / maintenance
personal.
Installer Information
(Company)
(Address)
(Address)
(Phone Number)
Btu/hr
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
_________________________________________________________________
%
%
ppm
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