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Water Heater Service Report
Date
_______________
Service Provider
_____________________________
Phone Number
_______________________________
Model Number
_______________________________
Serial Number
_____________________________
Intake Venting (PVC, CPVC):
Intake Vent size 3”, 4”
______
Intake 90° Elbows (qty)
______
Intake 45° Elbows (qty) ______
Exhaust Vent Size 6”,7”,8”
Length of Straight Pipe
(Intake)
________
Gas Line:
Size & Material ______________
Distance from Meter to Water
Heater _____________________
Gas Pressure:
Static _____________________
Running Inlet _______________
Manifold ___________________
Venturi:
Setting from Bottom in Turns
____________________________
Electrical:
Line Voltage ________________
Low Voltage ________________
Flame Sense (μA) ___________
Polarity ____________________
Spark Gap _________________
Error Codes on Control Display ______________________________________________________________________
Combustion:
CO
2
____________________
CO ____________________
Installation Site Name & Address:
________________________________
________________________________
________________________________
________________________________
________________________________
Installation Site Contact Name & Phone Number
________________________________
________________________________
________________________________
________________________________
________________________________
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