44
INSTALLATION AND CHECK-OUT CERTIFICATE
Boiler Model
Serial #
Date Installed___________
Measured BTU/HR input____________
Installation instructions have been followed
Checkout procedure and adjustments performed
Maintenance and Service issues reviewed with owner/ maintenance person
Installation booklet affixed on or adjacent to boiler
Installer (Company)
Address
Phone
Installer'sí Name
Signature
A04082
Copyright 2006 CAC / BDP
S
7310 W. Morris St.
S
Indianapolis, IN 46231
Manufacturer reserves the right to change, at any time, specifications and designs without notice and without obligations.
Catalog No:IM--BW9A--05
Replaces:IM--BW9A--04
Printed in U.S.A.
Edition Date: 3/06