PV 413 8/05 817-335-9531
●
800-433-5654
●
FAX 800-880-2019
●
www.pvi.com
Model Number: Serial Number:
VENTING and COMBUSTION AIR
Vent Material: (CPVC – Water Heaters Only; AL29-4C Stainless Steel – Boilers or Water Heaters)
Vent Diameter:
inches; Vent Length: feet Vent Type:
Through-the-roof
Through Sidewall
Does vent have condensate drain?
Yes
No Does vent have elbows?
Yes; Qty
No
Does vent contain any of these devices?
Power Vent
Draft Inducer
Draft Regulator
Flue Damper
Combustion air louvers or openings?
Yes; Qty: Size:
No Interlocked?
Yes
No
Have direct-ducted combustion air?
Yes; duct diameter
inches, length
feet.
No
Duct Material: Does duct have elbows?
Yes; Qty
No
GAS SUPPLY
Type of Gas:
Natural
LP
Inlet Static Gas Pressure:
“W.C. (14”W.C. maximum)
Gas Supply Pipe Size:
Inlet Flow Gas Pressure:
“W.C. (see data label)
Combination Gas Pressure Switch Setting: High
“W.C. Low “W.C.
COMBUSTION ANALYSIS
Boilers
Heaters
1
st
Stage
2
nd
Stage
Pilot Gas Pressure
Manifold Gas Pressure
Carbon Dioxide CO
2
(8-9%)
Oxygen O
2
(5-7%)
Carbon Monoxide CO (less than 200 ppm)
Nitrogen Oxide NO
X
(if available)
Vent Pressure (+.25” to + 2.0” W.C.)
Gross Vent Temperature (maximum 230°F)
less Room Temperature °F
= Net Vent Temperature °F
Important: You must submit the original copy of the completed form to your PVI representative before the
warranty will become effective on this product. Contact Customer Service for assistance at 1-800-433-5654.
Service Company Name:
Phone:
Service Co. Address:
Start-up Performed By:
Date:
Customer: Phone No.: Date:
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