Wayne LC2300M, Manual, Page: 2 / 64

63899-002 Rev. A 3/20/2024
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:
OVERVIEW OF SAFETY WARNING SYSTEM AND YOUR RESPONSIBILITIES
BURNER/APPLIANCE SERVICE LOG
SERVICE
DATE TECHNICIAN
COMPANY
/ ADDRESS CONTRACTOR
LICENSE #
WORK PERFORMED
/ /
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