CV-23 51 00 Breechings, Chimneys and Stacks – Equipment Identification/Tag: ______ Location:_________________________ A) CONDENSING APPLIANCE VENTS INSTALLATION CHECKS Questions (See details below) % 1) 2) 3) 4) 5) Date Description of Work Performed Complete Initials YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO YES YES YES YES YES NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All vents pitched up from equipment to point of termination outside of facility. Hanger spacing complies with specification requirements. Termination of vent is above and/or at least from any outside air intake, operable window, door, or equipment intake. 10’ Vents are leak tight. Drain connection provided at base of exhaust vent and piped to nearest drain. Negative Responses
CV-23 51 00 – Breechings, Chimneys and Stacks Equipment Identification/Tag: ______ Location:_________________________ A) CONDENSING APPLIANCE VENTS INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details All vents pitched up from equipment to point of termination outside of facility. Hanger spacing complies with specification requirements. Termination of vent is above and/or at least 10’ from any outside air intake, operable window, door, or equipment intake. Vents are leak tight. Drain connection provided at base of exhaust vent and piped to nearest drain. Negative Responses
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