•
If combustion measurements are not in the range specified, please repeat the Setting of the test mode and Maximum and
Minimum fire adjustment procedure as described previously.
Start Up Record
Start-up Date ______________________
Model Number _____________________
Series Number______________________
Gas type:___________
Power supply voltage: Hot /Gnd______ VAC, Hot /Neutral ______ VAC, Neutral /Gnd______ VAC
Maximum Fire
Minimum Fire
Inlet Gas Supply Pressure Inch W.C.
Manifold Pressure Inch W.C.
CO
2
%
CO PPM
O
2
%
Blower RPMs
Flue Gas Temp (°F)
Stack Pressure Inch W.C.
DISPOSITION
All tests and values specified must meet specifications prior to issuing this Start-up certificate. For any discrepancies, please
explain below what action was taken to correct the problem.
NOTIFICATION
All test and values specified must meet specifications prior to issuing this start-up certificate. For any of the field tests performed,
explain below what action was performed to correct the problem. The owner has been notified that corrections must be made to
this installation. The owner acknowledges that changes must be made within 30 days, prior to start up being completed.
Required Signature of Owner
Date