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Customer:
Address:
Date of Installation:
Location of appliance:
Installer:
Dealer/Distributor contact number:
Serial #:
Model:
CBHD4PN
Natural Gas:
CBHD4PGN
Fuel Type
Altitude (FT)
Max. Input (BTU/hr)
Max. Output (BTU/hr)
Min. Inlet Gas Supply Pressure
Max. Inlet Gas Supply Pressure
Manifold Pressure (Under Flow Confic-
tions)
Installer: please fill out the following information
CBHD4STN
CBHD4STGN
Media type
CBHD4PN
CBHD4PP
CBHD4STN
CBHD4STP
CBHD4PGN
CBHD4PGP
CBHD4STGN
CBHD4STGP
Propane:
Natural Gas
0-4,500
30,000
23,000
4.5" w.c. (11mb)
13" w.c. (32mb)
3.5" w.c. (9mb)
Product Codes
Fuel type
Logs
Natural Gas
Logs
Logs
Natural Gas
Logs
Glass
Natural Gas
Glass
Glass
Natural Gas
Glass
standard checklist
CBHD4PP
CBHD4PGP
Propane
0-4,500
30,000
23,000
11" w.c. (27mb)
13" w.c. (32mb)
10" w.c. (25mb)
Propane
Propane
Propane
Propane
W415-1283 / F / 04.30.18
EN
CBHD4STP
CBHD4STGP
5
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