Va Form 26-8731c - Fuel And Heating Systems Inspection Report (Manufactured Home)
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1FUEL AND HEATING SYSTEMS INSPECTION
CASE NO.
REPORT (MANUFACTURED HOME)
NOTE TO INSPECTOR: All inspections must be completed following installation and set-up.
LOCATION OF MANUFACTURED HOME
SERIAL NO. OF MANUFACTURED HOME
NAME OF INSPECTOR
NAME AND ADDRESS OF FIRM
TELEPHONE NO. (Including Area Code)
EQUIPMENT WORKING PROPERLY
1. HEAT PRODUCING APPLIANCES - Heat producing appliances are installed in conformity
with the listing and the manufacturers instructions and operate satisfactorily through all cycles.
YES
NO
DUCTS, HEAT EXCHANGER AND CASING
2. CIRCULATING AIR SYSTEM - AIR TIGHTNESS - A supply duct system shall be considered
SATISFACTORY?
substantially airtight when the static pressure in the duct system, with all registers sealed and with
the furnace air circulator at high speed, is at least 80 percent of the static pressure measured in the
furnace casing, with its outlets sealed and the furnace air circulator operating at high speed.
Pressures shall be measured with a water manometer or equivalent device calibrated to read in
increments not greater than 1/10 inch water column. A visual inspection of the duct distribution
system should be made when accessible, to ascertain physical damage such as crushing and if
blockage by debris exist. If defects are observed they must be corrected.
YES
NO
A. OIL SUPPLY PIPING - Before setting the system in operation, tank installations and piping
OIL SUPPLY SYSTEM SATISFACTORY?
shall be checked for oil leaks with fuel oil of the grade that will be burned in the appliance. No other
material shall be used for testing fuel oil tanks and piping. Tanks shall be filled to maximum
NOT
capactiy for the final check for all leakage.
YES
NO
APPLICABLE
GAS SUPPLY PIPING SATISFACTORY?
B. GAS SUPPLY PIPING - Piping systems shall stand a pressure of at least six inches mercury or
three PSI gage for a period of not less than ten minutes without showing any drop in pressure.
Pressure shall be measured with a mercury manometer or slope gage calibrated so as to be read in
increments of not greater than one-tenth pound, or an equivalent device. The source of pressure
shall be isolated before the pressure tests are made. Before a test is begun, the temperature of the
ambient air and of the piping shall be approximately the same, and constant air temperature be
maintained throughout the test. When appliances are connected to the piping system, the entire
system shall be pressurized to not less than 10 inches nor more than 14 inches water column and the
NOT
YES
NO
appliance connections tested for leakage with soapy water or bubble solution.
APPLICABLE
FEDERAL STATUTES PROVIDE SEVERE PENALTIES FOR ANY FRAUD, INTENTIONAL MISREPRESENTATION OR CRIMINAL CONNIVANCE OR CONSPIRACY
PURPOSED TO INFLUENCE THE ISSUANCE OF ANY GUARANTY OR INSURANCE OR THE GRANTING OF ANY LOAN BY THE SECRETARY.
I certify that I have carefully inspected the above system in which I have no interest present or prospective and that I have reported herein all observed conditions.
DATE
SIGNATURE OF INSPECTOR
LICENSE NO.
VA FORM
SUPERSEDES VA FORM 26-8731c, AUG 1991,
26-8731c
JAN 2001
WHICH WILL NOT BE USED.
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