Nature's Comfort NCB-80 Installation And Operating Manual - page 33
NCB
Built Like A Tank With Laser Precision
Page
33
of 34
Nature’s Comfort LLC, 3790 N. SR 5, Shipshewana, IN 46565 - Phone: 877-251-7740 - Fax: 866-222-8702
www.naturescomfortllc.com
_____________________________________________________________________________________
Initial/Annual Water Test Request/Report Form
We recommend that you have your local dealer perform your initial and yearly nitrite testing.
If no local dealer is available you may fill out this form and send to address above
with a check or money order for $10 and a minimum 1oz water sample
in a clean, clear, plastic water bottle.
(Samples sent in treatment bottles will not be accepted.)
All fields must be filled out to be accepted in the event of a warranty claim
Customer must keep copies for their records
Customer Information:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Phone & E-mail: ______________________________________________________________________
Boiler Model & Serial Number: ___________________________________________________________
Date & Dealer Purchased From: __________________________________________________________
Test Information
Date Sample Taken: ___________________________________________________________________
____________________________________________________________________________________
(This portion to be filled by person performing test)
Date Test Performed: __________________________________________________________________
Test Results (ppm of Nitrite) ______________PPM. Test Kit Expiration Date: ______________________
*Minimum allowable nitrite level is 500ppm. **Water should have 1,000-1,500ppm for proper buffer to never fall below
500ppm. If water is not crystal clear, drain, flush, fill, re-treat and re-test.
Name of Person Performing Test: ________________________________________________________
Signature: ___________________________________________________________________________
Company Name: ______________________________________________________________________
Phone & E-mail: ______________________________________________________________________
Comments:
:PASS: [ ] :FAIL: [ ]
____________________________________________________________________________
NOTE: Visit our website above each year for complete details about how to keep your
warranty valid. In order to keep your warranty valid, you MUST keep a record of nitrite tests for
each year you have owned your boiler.