A.O. Smith VB/VW 500/750/1000 Quick Start Guide download pdf (Page 4)

STATEMENT OF COMPLIANCE

I, the undersigned, certify that the product listed and described above has been started in accordance with this

form and the literature provided, (Instruction Manual part number 212800) and that all measured values and

requirementsarewithin the manufacturer’s specications. If thisunit does not meet all start-upcriteriain this

document, DO NOT LEAVE UNIT IN OPERATION. SEVERE PERSONAL INJURY, PROPERTY DAMAGE OR

EQUIPMENTDAMAGEMAYOCCUR.Iftheboilerisdamagedduetoanycriterianotbeingmet,WARRANTYmay

not cover damaged parts or any labor allowances.

__________________________________ __________________

Required Signature of Start-up Agent Date

__________________________________ __________________

Required Signature of Owner, contractor or installer Date

For additional information please refer to the User’s Manual supplied with the boiler or contact:

A.O. Smith Technical Services at 1-800-527-1953

7 a.m. to 7 p.m. Central Time

Our Internet Site is another source of information 24 hours a day.

http://www.aosmithwaterheaters.com

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A.O. Smith VB/VW 500/750/1000 Quick Start Guide Page 4