
gas
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fired
water
boiler
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Boiler Manual
124
gas
-
fired
water
boiler
—
Boiler Manual
Boiler Model
Series
CP Number
Date Installed
BTU Input
❏ ❏❏❏
Installation instructions have been followed.
❏
❏
❏
❏
❏
❏❏❏
Check-out sequence has been performed.
❏
❏
❏
❏
❏
❏❏❏
Above information is certified to be correct.
❏
❏
❏
❏
❏
❏❏❏
Information received and left with owner/maintenance person.
Installer
(Company) (Address) (Phone) (Installer's Signature)
Installation and Service Certificate
START-UP DATA
Boiler Model
CO
2
High fire
% CO
2
Low fire
%
Fuel
Natural ____ LP ____ CO High fire
ppm CO Low fire
ppm
Was orifice changed? ______________________________________ Was gas valve throttle adjusted (Ultra-399) for propane? __________________
Natural gas input rate measured _________________________ Btuh
U-CONTROL SET-UP DATA
Boiler Model
WWSD Temp
°F Add’l Heat Demand Type 1___ 2___ 3___ 4___
High Altitude
yes ____ no _____ Adjust Outdoor
°F Add’l Heat Demand Time
minutes
Manual Reset Temp
°F
PRIORITY 1 Settings
PRIORITY 2 Settings
PRIORITY 3 Settings
System Type
System Type
System Type
Max Supply
°F Max Supply
°F Max Supply
°F
Min Supply
°F Min Supply
°F Min Supply
°F
Max OD Reset
°F Max OD Reset
°F Max OD Reset
°F
Min OD Reset
°F Min OD Reset
°F Min OD Reset
°F
Modulate On Diff
°F Modulate On Diff
°F Modulate On Diff
°F
Modulate Off Diff
°F Modulate Off Diff
°F Modulate Off Diff
°F
Max On Time
minutes Max On Time
minutes Max On Time
—
Min On Time
— Min On Time
minutes Min On Time
minutes
Boost Interval
minutes Boost Interval
minutes Boost Interval
minutes
Pre-pump Time:
seconds Pre-pump Time:
seconds Pre-pump Time:
seconds
Post-pump Time:
seconds Post-pump Time:
seconds Post-pump Time:
seconds
Circulator 1
on-off Circulator 1
on-off Circulator 1
on-off
Circulator 2
on-off Circulator 2
on-off Circulator 2
on-off
Circulator 3
on-off Circulator 3
on-off Circulator 3
on-off
Maximum Rate
%Rate Maximum Rate
%Rate Maximum Rate
%Rate
Minimum Rate
%Rate Minimum Rate
%Rate Minimum Rate
%Rate
Circulator Exercising
Freeze Protection Circulators
Circulator 1
on _______ off _______
Circulator 1
on _______ off _______
Circulator 2
on _______ off _______
Circulator 2
on _______ off _______
Circulator 3
on _______ off _______
Circulator 3
on _______ off _______