INDIRECT FIRED EQUIPMENT INSTALLATION FORM

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INDIRECT FIRED EQUIPMENT INSTALLATION FORM Please complete ONE (1) form for each SITE at which Indirect Fired units are installed and return it to AERCO for warranty validation within 30 days of start-up. After completion, e-mail this form to: STARTUP@AERCO.COM. Completed By: Unit & Location Date: Installation Name: Street Address: SST Technician: Company: City, State, Zip: Phone #: AERCO Sales Rep: Equipment Classification Choose the unit type and enter the serial number for each unit. Add additional in ADDITIONAL NOTES if needed. Double Wall B+II WaterWizard Water Heater General Installation 1. Does the installation meet AERCO recommended clearances? Yes No 2. Does condensate gravity drain? Yes No 3. Is there any lift in the condensate piping? Yes No 4. Does condensate drain to a receiver? Yes No 5. Is the relief valve piped to drain or within 12 of floor? Yes No 6. Is the unit s drain piped to the floor or a drain? Yes No 7. Is there a drip leg installed in the steam service piping prior to AERCO control valve? Yes No 8. Is there a Y-line steam strainer before the control valve? Yes No 9. If yes, what is the strainer mesh size? 10. Is a recirculation system used to maintain system water temperature? Yes No 11. If yes, what is the recirculation pump capacity in GPM? GPM 12. Is heat trace used to maintain system water temperatures? Yes No 13. What is the outlet water temperature set point? F 14. What is the high limit temperature switch setting? F 15. For a multiple unit installation, does the system utilize one or more of the following balancing methods? Reverse return piping Yes No Balancing valves Yes No Page 1 of 5 06/30/2014

For Heaters Using a Storage Tank 1. Storage tank is: Stratified Accumulator 2. Does tank have? Baffle Dispersion Tube 3. What is the storage tank s volume? Gallons 4. If using an accumulator, is an F&T trap installed on the heaters Yes No 5. What is the heater outlet temperature? F 6. Position of aquastat: Upper 1/3 Middle 1/3 Lower 1/3 No aquastat 7. What is the aquastat temperature setting? F 8. Does the aquastat control the pump between the tank and heater? Yes No 9. Is a throttling valve installed between the pump and heater? Yes No 10. Is there a bypass loop around the pump? Yes No 11. What is the capacity of pump between the tank and heater? GPM Water Heater Installation 1. Are isolation valves installed in the inlet piping? Yes No 2. Are isolation valves installed in the outlet piping? Yes No 3. Is a hose bib installed in the outlet piping? Yes No 4. Are check valves installed in the cold water inlet? Yes No 5. Are check valves installed in the recirculation line? Yes No 6. Building recirculation is piped to: Inlet Side of Heater None 7. Record distance of building connections (ft) & cold water feed (ft) to the bank of unit(s) 8. What are the maximum/minimum design flow rates through the unit? Max GPM, Min GPM a. Were the maximum & minimum flow rates verified? Yes No 9. What is the design system flow rate? GPM 10. What is the design plant delta T? F Valve Information 1. Inlet steam pressure to valve? 2. Has the water flow been balanced between the units? Yes No 3. Type of valve: Pneumatic Self-Contained Electric AERCO Other (please specify model/manufacturer) Page 2 of 5 06/30/2014

Mode of Operation Gateway ProtoNode If Network (MODBUS), the network type is (choose one): Other: If Building Automation System (BAS) Protocol is in use (choose one): BACNet (choose one): IP (ProtoNode Only) MS/TP PTP ARC156 (XPC Model Only) Johnson Controls - N2 LonWorks Page 3 of 5 06/30/2014

Summary 1. Are all units installed in accordance with AERCO guidelines and industry best practices? Yes No a. If No, please describe the issues. 2. Is there any conflict between the Installation & the Engineer s Specification or Design Plans? Yes No a. If Yes, please describe the issues. 3. Are there any conflicts or physical restrictions that will prevent the boiler plant from receiving proper preventative maintenance in the future? Yes No a. If Yes, please describe the issues. 4. Please outline any exceptions that have been granted by AERCO Applications Engineering for this installation if necessary. a. AERCO Application Engineering Sign Off: Page 4 of 5 06/30/2014

ADDITIONAL NOTES: Page 5 of 5 06/30/2014