5(3$,53$576
When ordering repair parts, include the complete unit model number listed on the unit rating plate. For
example:UHRS-45A-1. Contact the installing dealer, or visit www.adpnow.com for a list of dealers in the
area. Include manufacturer’s or distributor’s name and address. It is a requirement in the Z83.8 standard.
Electrical Connections Tight
67$5783$1'3(5)250$1&(&+(&./,67
Job No.:
City:
City:
Serial No.:
Date:
State/Province:
Service Technician:
Air Shutters Properly Adjusted (If Installed)
Flue Connections Tight
7+(50267$7
Calibrated
Heat Anticipator Properly Set
Level
Manifold Pressure
Blower Motor Amps
Blower Motor Lubrication O. .
Gas Piping Connections Tight & Leak-Tested
State/Province:
Fan Timer Operation Checked
w.c.
Job Name:
Job Location:
Installer:
Unit Model No.:
Supply Voltage
Furnace Btu Input
Line Pressure
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