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Start-up Forms

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COPPER-FIN START-UP CHECKLIST Job Name: _____________________________________________ Model Number: ________________________________________ Address: _____________________________________________ Serial Number: ________________________________________ City: _______________________ ST: _______ Zip: ________ Start-up Date: ________________________________________ OVERVIEW Retrofit New Project water & ELECTRICAL At full fire, read and record - Inlet Temp: _________________ How many units are installed at this location? Boiler(s) _____________ Water Heater(s) Outlet Temp: _________________ _____________ Inspect gas pipe, regulator and meter sizing. Is it sized correctly for Btu/Hr requirement? y n Delta T: _________________ Supply Voltage: _________________ Tot. Amp Draw: _________________ air Pressure Record in. of water column - Conventional venting Outdoor Is there an inlet gas lockup regulator on the supply? Y N If Yes, is it 10’ upstream from the appliance? Y N Record in. of water column - GAS PRESSURE Vlv 1: _______ *Vlv 2: _______ *Vlv 3: _______ *Vlv 4: _______ *Vlv 5: _______ *Vlv 6: _______ Water Temperatures High Limit: _________ Static Pressure: _____________ Stg 1 Diff: _________ *Stg 2 Diff: _________ Left Blower*: _________________ Dynamic Pressure: _____________ Right Blower: _________________ Manifold Pressure: _____________ VENTILATION Air Inlet Dia. (in.): ____________ Air Inlet Material: ____________ Total Eqv. Length (ft.): ____________ COMBUSTION venting (Select the venting option being used): Gas Supply Gas Pipe Dia. (in.): _________ Total Eq. Length Gas Piping (ft.): _________ Combustion and Ventilation Openings: Two openings to outside Two ducts from outside One opening to outside Two ducts from interior space Combustion & Vent Louver Openings Clearance between Openings (total sq. in.): (total sq. in.): inlet & outlet (DV): ______________ ______________ ______________ Comments/Corrections needed for air inlet piping, openings or venting: _____________________________________________________ _____________________________________________________ clearances Measure and record (inches) the service clearances from the nearest obstruction (min. 24” required for service): Front: __________ L Side: __________ Top: __________ Rear: __________ R Side: __________ Flue Dia. (inches): ____________ Flue Material: ____________ Total Eqv. Length (ft.): ____________ *If Equipped Low Fire: High Fire: O2 % ______________ ______________ CO ppm ______________ ______________ CO2 % ______________ ______________ Draft Readings Record in. of water column - Unit On: _____________ Unit Off: _____________ Barometric Dampers properly adjusted? Y N This Startup Sheet is for use only by a qualified heating installer/service WARNING ! technician. Refer to the Installation and Operation Manual for your reference. Have this unit serviced/inspected by a qualified service technician, at least annually. Failure to comply with the above could result in severe personal injury, death, or substantial property damage. Start-up performed by: Comments/Corrections needed for service clearances: Company: ____________________________________________ _____________________________________________________ Name: ____________________________________________ _____________________________________________________ Phone: ____________________________________________ GENERAL JOB NOTES Start-up approved by: _____________________________________________________ Company: ____________________________________________ _____________________________________________________ Name: ____________________________________________ _____________________________________________________ Phone: ____________________________________________ Send completed form to: Email: [email protected] Internal Use: S/O #: _____________________ Fax: (615) 882-2963 Routed: _____________________ Service Dept/Lochinvar 300 Maddox Simpson Pkwy. Lebanon, TN 37090 Tech: _____________________ Mail: — The information on this form verifies operation of the Lochinvar product only. — This does not imply other system components or overall system operation is certified. Component and system verification should be performed by the designated commissioning agent or installing contractor. Save Then Submit Form App: Denied: CFI-STARTUP REV B