GAS CONVERSION INFORMATION
This form must be completed by the technician performing the gas conversion. When complete, give to the
consumer or leave with the boiler.
Technician Name:
Company Name & Address:
Date of Conversion:
Converted To (Gas Type):
Additional Notes for the Consumer:
Rinnai Commercial Boiler Conversion Manual
For The Consumer
Rinnai Commercial Boiler
Natural Gas (NG):
Propane Gas (LPG):
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