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Customer:
Address:
Date of Installation:
Location of appliance:
Installer:
Dealer/Distributor contact number:
Serial #:
Model:
CBHD4PNA
Natural Gas:
CBHD4PGNA
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
CBHD4STNA
CBHD4STGNA
Media type
CBHD4PNA
CBHD4PPA
CBHD4STNA
CBHD4STPA
CBHD4PGNA
CBHD4PGPA
CBHD4STGNA
CBHD4STGPA
Propane:
Natural Gas
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
CBHD4PPA
CBHD4PGPA
Propane
0-4,500
30,000
23,000
11" w.c. (27mb)
13" w.c. (32mb)
10" w.c. (25mb)
Propane
Propane
Propane
Propane
W415-4051 / C / 06.29.22
EN
CBHD4STPA
CBHD4STGPA
5
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