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What is your application?
If your application is not in the list above, please describe.
What is the model number of your boiler?
Boiler Serial Number (The serial number can be found on a metal plate rivetted to the out jacket near the bottom access door)
Did you purchase this boiler, or was it on site when you acquired the business or moved to the location?	I Purchased the boiler new Boiler was on site when I moved to this location.
What year was the boiler purchased?
Who was the boiler purchased from?
Has the boiler ever been retubed?	Yes NoDon't know
How long did the orginal tube last?
Do you have hard or soft water?	Hard Soft
Aside from a water softener, do you use any additional chemical water treatment?	YesNo Describe
Do you follow a daily blow down proceedure?	Yes No

Do you have any other comments to share with us?