Contractor start-up form, Appliance, Burner – Beckett CG4 User Manual
Page 27: Chimney/smoke pipe, Gas supply piping, Combustion readings
Contractor Start-Up Form
Installation Name:_________________________________________ Installation Date:___________________
Installation Address:_________________________________________________________________________
Start-Up Company’s Name_________________________________ Phone:__________________________
Name of Technician_________________________________________________________________________
■ Appliance
(Below information can be obtained from appliance name plate)
Manufacturer:______________________________________________________________________________
Type (circle one): [
Boiler / Furnace / Other
] Model #:_______________ Serial #:____________________
Input MBH:_______________ Original Appliance Designed for (circle one): [
Oil / Natural Gas / Propane
]
Output MBH:______________
Limits
Limit Model No.
(Indicate n/a if not required by the appliance manuf.)
Operation Verified
Temperature
YES / NO
Pressure
YES / NO
LWCO
YES / NO
Other Limits
YES / NO / n/a
■ Burner
Fuel: [
Natural Gas / Propane
] Model #:________________ Serial #:_________________________
Combustion Head: [
F3G / F4G / F6G
] Fuel Orifice Size:________ Air Shutter Setting:____________
Air Band Setting:____________ [
or Blank Band Installed
] Baffle: [
Installed / Not Required
]
■ Chimney/Smoke Pipe
Chimney Type:[
Masonry / Metal Vent / Direct Vent
] Location (circle one): [
Inside / Outside
]
Chimney Height:_____________ Flue Pipe Size:______________ Flue Pipe Length:________________
Number of Elbows:____________ Confirm Double Acting Draft Regulator Installed: [
Yes / No
]
Thermal Safety Switch Installed [
Yes / No
] Voltage: [
120V / 24V
]
Gas Supply Piping
Pipe Diameter:________ Length of Pipe from Burner to Meter:_________ Number of Elbows:__________
Gas Pressure to Burner Gas Valve While Burner is Operating ____________ Inches W.C.
■ Combustion Readings
O
2 :
_________% CO:__________ PPM CO
2 :
_________% Stack Temperature (325°F MIN.):__________°F
Manifold Gas Pressure:______________ (Inches W.C.) Draft at Breech___________________________W.C.