Installation and service certificate
Date Installed: ____________________________
Boiler Model Number: _______ Series: ____________
CP Number(s): ___________________________
Measured Btu or GPH Input: ________________
❏
❏
Installation instructions have been followed.
❏
❏
Check-out procedure has been performed.
❏
❏
Above information is certified to be correct.
❏
❏
Information received and left with owner/maintenance
person.
Installation and service certificate
Installer: ________________________________________________________________________________________________
(Company)
(Address) (Phone)
_________________________________________
(Installer’s Signature)
Part number 550-141-829/1211
33
GOLD
SGO
OIL-FIRED NATURAL DRAFT STEAM BOILER — SERIES 3 —
Boiler Manual
SERVICE TECHNICIAN ONLY — read and follow completely.
Summary of Contents for GOLD SGO
Page 1: ......
