Enviro DV50DX User Manual

Installation Data Sheet

The following information must be recorded by the installer for warranty purposes and future reference.

NAME OF OWNER:

_________________________________________

ADDRESS:

_________________________________________

PHONE:___________________________________

NAME OF DEALER:

_________________________________________

ADDRESS:

_________________________________________

PHONE:___________________________________

MODEL:___________________________________

SERIAL NUMBER:___________________________

DATE OF PURCHASE: _____________

(dd/mm/yyyy)

DATE OF INSTALLATION:___________

(dd/mm/yyyy)

�

NATURAL GAS (NAT)

�

PROPANE(LPG)

INLET GAS PRESSURE:_________in wc

MAIN BURNER ORIFICE:__________# DMS

PILOT ORIFICE #_________OR________in diam.

INSTALLER’S SIGNATURE:

_________________________________________

NAME OF INSTALLER:

_________________________________________

ADDRESS:

_________________________________________

PHONE:___________________________________

MANUFACTURED BY:

SHERWOOD INDUSTRIES LTD.

6782 OLDFIELD RD. SAANICHTON, BC, CANADA V8M 2A3

www.envirofire.biz

November 26, 2004

C-10767