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1801 Falls Ave. Waterloo, IA 50701
319-233-6101
Home
About
Safety
Services
Boiler Systems
Gas Fired Equipment
Certified Welding Services
Process Piping
Pump Services
Certified Backflow Testing
Inspections
Parts
Careers
Contact
Service Report
Service Report
Service summary of work performed.
Job Name
(Required)
Job Number
(Required)
City
(Required)
Service Represenative
(Required)
Equipment
(Required)
Asset # / Serial #
(Required)
Service Notes
Photo Upload
Drop files here or
Select files
Max. file size: 300 MB.
Recommendations
A. TUNING TABLE
Is a Tuning Table needed?
(Required)
Yes
No
TUNING TABLE
Tests Conducted
Firing Rate - BEFORE
Firing Rate - AFTER
Stack Temp (Gross) F° - BEFORE
Stack Temp (Gross) F° - AFTER
O2% - BEFORE
O2% - AFTER
CO2% - BEFORE
CO2% - AFTER
CO (PPM) - BEFORE
CO (PPM) - AFTER
Excess Air - BEFORE
Excess Air - AFTER
Combustion Efficiency % - BEFORE
Combustion Efficiency % - AFTER
B. SAFETY TEST TABLE
Is the Safety Test Table needed?
(Required)
Yes
No
SAFETY TEST TABLE
Control Checks:
TEST - Low Water C.O.
SET PT. - Low Water C.O.
TEST - Aux. Low Water C.O.
SET PT. - Aux. Low Water C.O.
TEST - Operating Limit
SET PT. - Operating Limit
TEST - High Limit
SET PT. - High Limit
TEST - Operating Control
SET PT. - Operating Control
TEST - Flame Failure
SET PT. - Flame Failure
TEST - Combustion Air Switch
SET PT. - Combustion Air Switch
TEST - High Gas Switch
SET PT. - High Gas Switch
TEST - Low Gas Switch
SET PT. - Low Gas Switch
C. STOP RECOMMENDATION
Is a STOP recommendation needed?
(Required)
Yes
No
STOP - RUN AT YOUR OWN RISK
CAUTION
If this box is checked, the customer is advised not to run equipment.
Comments
D. CUSTOMER ACKNOWLEDGEMENT
Contact Name (First & Last)
(Required)
Contact Title
(Required)
Contact Email
(Required)
Customer Contact Acknowledgement
(Required)
I have reviewed this report.
Signature
Δ