CAL
-SERIES
81
32.0
EXAMPLE OF CONVERSION KIT LABEL
TO BE COMPLETED AS PER INSTRUCTIONS IN KIT
This appliance was converted on DAY: _______________
MONTH: ________________YEAR: ___________________
to NG: _____Propane. ______ gas with Kit #
_______________
by: NAME: _______________________________________
COMPANY: ______________________________________
ADDRESS: _______________________________________
CITY/TOWN: __________________ STATE/PRO: ________
TELEPHONE: _____________________________________
Orifice Size: _______ leak Test Performed: Yes: _______
Manifold Pressure: Min____________ Max____________
Input: ___________________ Altitude: _______________
(The name of the individual and organization making this
conversion accepts the responsibility that this conversion
has been properly made and has performed a leak test on
the appliance prior to placing into service.) Locate label in
a conspicuous location on the appliance near rating plate.
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Cet appareil a ete converti au: ______________________
Injecteur: __________________Date: ________________
Pression a la tubulure d'alimertation: ________________
Debit calorifique: _________________________________
