Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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What type of installation?
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Make / Model of equipment (if known)
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Does unit require power?
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Describe scope of electrical work
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Firebox Dimensions
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Ash Cleanout
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Photos of Firebox, Gas connection and Chimney/Roofline. If free standing, photo of install location.
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Type of Venting
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Vent stock list
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Describe gas piping
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Gas stock list
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Notes or Special instructions
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Signature of completed estimate checklist
