Weatherization Manual Policies and Procedures Supporting Documents for United States Department of Energy (doe) United States Department of Health and Human Services (hhs) Bonneville Power Administration



Download 8.3 Mb.
Page31/41
Date conversion08.07.2018
Size8.3 Mb.
1   ...   27   28   29   30   31   32   33   34   ...   41

Solid Fuel Burning Appliance Systems Supplemental Audit Form


Complete this form and place in client file.

1. Is the system the primary heat source? Yes____ No_____

2. What are the existing conditions of the system?

Components

Good

Fair

Poor

Health & Safety Concerns

Inoperable

Inefficient & life span less than one year

Chimney/flue system



















Wood heating unit



















Surrounding area (hearth, clearances, location)



















3. Describe recommended measure for existing situation:

4. What is your recommendation, based on cost and nature of the problem?



Repair Replace

5. Who is making this recommendation?



Agency Representative Heating System Subcontractor

I certify that the above information is complete and accurate.



Signature of Agency Representative Date

Client Information: I have received information on safe operation, proper maintenance, and clean burning for my new (or repaired) solid fuel burning appliance system.

Client Signature Date

Link to Active Form: Exhibit 5.1.6A, Economic Analysis of Refrigerator Replacement






Variance #20 – SWS Section 7.8001.1a

Variance #20: DOE granted a variance from SWS Section 7.8001.1a Refrigerator & Freezer Replacement allowing: WA allows Energy Star rated or equivalent energy use Refrigerator replacements. DOE prohibits Freezer replacements.


Link to Active Form:

1   ...   27   28   29   30   31   32   33   34   ...   41


The database is protected by copyright ©dentisty.org 2016
send message

    Main page