Wayne EHG - Page 2

2
INSTALLATION LOG
BURNER MODEL:
SPECIFICATION NUMBER:
FUEL (NATURAL OR
PROPANE):
GAS ORIFICE DRILLED
SIZE:
INLET GAS PRESSURE
(in. w.c.):
CO
2
(%):
O
2
(
%):
CO (PPM):
INSTALLER’S NAME:
CONTRACTOR NAME:
CONTRACTOR
ADDRESS:
CONTRACTOR PHONE
NUMBER:
CONTRACTOR LICENSE #:
DATE OF INSTALLATION:
COMMENTS ABOUT INSTALLATION/START UP:
BURNER/APPLIANCE SERVICE LOG
SERVICE
DATE
TECHNICIAN COMPANY
/ ADDRESS
CONTRACTOR
LICENSE #
WORK PERFORMED
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