HomeMy WebLinkAbout820 Merganser Dr - Special Inspections/Combustion Safety - 09/20/2018�WO-?ning, c : 7mmis - c"t 'mn see ul-ces.
A4 Can, ❑evelop,,,ent llsfeiJ3arftaad SiavWces
v - �, 281 Itor2h College Avenue
P.O. Box580
T For: ColllnS, CO 605?20580
8702243i3^-tax
;goa eor,.
(Combmstilm & feJT T gist, Cum,tD1lame Fo-um
l�a?r?�L&Cer�e3 of Na:v. r al U_ mOtAm lmim eS in, G)ldsOng to ouses
ome avilum blame_ &.I I REM 70- 4evhev�e s pen. -ME i bez- . t SO J 2-7`.%
Address:8ab He'r-Sgnapr'}0r- /'frrr epainS Tale: q� b- BAP-7746L
:'Ace rQml""]G 'L,"emr-o * if.S 1 -(J4-
I hereby ant stimiIhave- P MOI-Me�d the foL7o7mg Combunon SCMYTest in accord ee with o
Collins Combusdon Sgm&my Test Gide version 5, February 2012.
Company -Tame: Vial'lrl CltiCWraina '(�DSCt�tC �ice�seNt ber �`�'�-t
Technician -1,Tame (pn:n,): 4) 1 fQ QLC i Date: CW9611,8
Technician Signabre: Tale:
Appliance Tested: irC —4h - KCUC> w/11 mode? 4'-.
App is ce i3cplaeed Lt)r%/� 1414 Yodel_ �g: Zq V YD - ,?ro l
S i -P 1 e W-Orst (Lase C0ed4!0-ma. TeDt
5piii a ee L E tiOn. On seconds): �� Capon it�iono� ice (Aarts Derr i o3):
f aSS _ Nail 1 eefzsdcGZteE zf288sG e2$L' c';3ZCe >��e e?L✓�a ��ei�NbPw �� ss�,jes
Technicma- 's recommendzions Lo coTeci: tested appliance iaiture:
ST, RP 2:1`1ffvara? Cam t ns Teat
Spii_lage/3aclscir ft- Duation (ire seconds): Carbon Mo de (Iiam per , ai"on):
Pass µal
(F¢Ffed fast rre MNS comeVo is LRniff ee° mssss :amda. Mmum'I co wzs)
C ' li•L 3.• aemma 0 W. --ar MEgmcEu�r- e
I cut-ify Lhm 1 am dic lcg owlfcr of LhP Pliope listed prop !e"'ti'.
Ovmees Name (prim) O k\OA `IQ 7ZL
Nmer's 5iguawx G Baia
7n e vvent 'cbaL.My a PIiance has MieUR a e 030YO .Stiol, Say%t9 Test -Miler wow r case
eomte edame; I hereby acknowledge that! eve mceived a combustion alnmt�ce szr�ty
inn-ormetion sheet. (.utiQ
Firrther iinf-bi ratios can be obtamed ay vmw?cSov.com/b-Llilding/greenc-7asses.php