4
0
W
ater
H
eater
S
er
vi
ce
R
e
p
ort
Date
_______________
S
er
vi
ce
P
ro
vi
der
_____________________________
P
h
o
ne
Number
_______________________________
Mode
l
Number
_______________________________
Ser
i
a
l
Number
_____________________________
I
nta
k
e
V
ent
i
ng
(
PV
C
,
C
PV
C):
I
ntake
V
ent
size
3”
,
4
”
______
I
ntake
9
0
°
E
l
bo
w
s
(
qty
)
______
I
ntake
4
5
°
E
l
bo
w
s
(
qty
)
______
Exhaust
V
ent
S
ize
6
”
,7
”
,8
”
Length
o
f
S
traight
P
ipe
(
I
ntake
)
________
Gas
L
i
ne:
S
ize
&
Materia
l ______________
Distance
f
rom
Meter
to
W
ater
H
eater
_____________________
Gas
P
ressure:
S
tatic
_____________________
R
unning
I
n
l
et
_______________
Mani
f
o
l
d
___________________
V
entur
i
:
S
etting
f
rom
Bottom
in
Turns
____________________________
E
l
ectr
i
ca
l
:
Line
V
o
l
tage
________________
Lo
w
V
o
l
tage
________________
Fl
ame
S
ense
(
A
)
___________
P
o
l
arity
____________________
S
park
Gap
_________________
Error
C
odes
on
C
ontro
l
Disp
l
ay
______________________________________________________________________
Combust
i
on:
C
O
2
____________________
CO
____________________
I
nsta
ll
at
i
on
S
i
te
Name
&
Address:
________________________________
________________________________
________________________________
________________________________
________________________________
I
nsta
ll
at
i
on
S
i
te
Contact
Name
& P
hone
Number
________________________________
________________________________
________________________________
________________________________
________________________________
40