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PV 413  8/05                             817-335-9531 

 800-433-5654 

 FAX 800-880-2019 

 www.pvi.com                       

START-UP REPORT  

POWER VT

®

 WATER HEATERS

 

OR BOILERS

 

 

Warning: Startup must be performed by a qualified service installer, service agency or the gas supplier. 

 
 

Model Number:                                                                       Serial Number:                                                                     

Job Name:  

 

Address:  

 

 

GENERAL INFORMATION 

 

Restart?   

 Yes   

  No  

Installation is:   

 New    

 Replacement/Renovation   

 Indoor   

 Outdoor 

Primary operating voltage supply:  

  VAC  Voltage from neutral to earth ground:  

      

 (should be zero) 

Thermostat Setting:  

     °F 

 

Thermostat Setting:  

     °F 

 

Hi-Limit Setting             °F  

Is the T & P Relief Valve plumbed to a suitable drain?       

 Yes     

  No  

 
 

BOILER INSTALLATIONS (Closed Loop Heating System) 

 

Boiler water supply and return piping size  

 

  Is there a Primary (boiler bypass) loop?   

 Yes   

 No 

Primary (boiler bypass) loop contains:   

 Modulating 3-way valve    

  Manual valve     

 No valve

 

What is the horsepower of the primary (boiler loop) circulator pump?  

 

    VFD?   

 Yes   

 No 

What is the location of the primary circulator pump?     

 Downstream from boiler     

 Upstream from boiler 

Is there a balancing valve (circuit setter) in the primary loop?  

 Yes 

 No 

Supply water temperature:                      °F      Return water temperature:                          °F  

What is the horsepower of the secondary (main heating loop) circulator pump?    

    VFD?   

 Yes   

 No 

What is the location of the secondary circulator pump?    

 Downstream from boiler    

 Upstream from boiler 

Is there a balancing valve (circuit setter) in the secondary loop?  

 Yes 

 No 

 
 

WATER HEATER INSTALLATIONS 

 

Type of piping connected to heater: 

  Copper      

 Brass      

 Galvanized 

Is there a check valve in the supply water piping? 

 Yes         

 No 

 

Is there a water softener on the cold water supply? 

 Yes         

 No       Operational?  

 Yes   

 No 

Is there a mixing valve on the hot water supply?   

If yes; temperature setting:                °F          

 No    

Is there expansion relief in the cold water supply?   If yes, what type:  

 tank 

 valve 

       

 No 

Is there a recirculation loop?   

 Yes   Circulating pump horsepower:      

                    

 No  

Is there a floor drain in the room?      

 Yes        

 No 

 

 

 
 
 
 

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