XLT Ovens
PO Box 9090
Wichita, KS 67277
Oven Size: 3240 3255
4455-1B 3270-1B
Heat Source: Natural Gas LP
Fire Suppression Installed: Yes No
Electrical
Electrical utilities accessible: Yes No
Separate electrical circuit per oven: Yes No
Gas Requirements
Gas Line Size: ___________ Teflon Tape: Yes No
If Gas line is not at least 1-1/2’’ contact store owner
Shut off valve accessible after installation: Yes No
One shut off valve per oven: Yes No
Sediment Trap installed: Building Yes No
Oven Yes No
If No contact store owner this voids warranty
Gas line purged of air prior to installation: Yes No
Fittings tested for gas leaks: Yes No
Contact Information
Store Name: Address:
City: ____________________ State: _____ Zip: _______ Phone #:
Email: _______________________________________Contact Person: ____________________________________
Facility Information: Freestanding Strip Mall New construction Existing location Remodel
Oven Location: Against wall In corner Island
HVAC/Contractor Contact: _______________________Addr ess:
City: ____________________ State: _____ Zip: _______Phone #: _______________ Cell:
Email:
List all gas appliances in store (with gas requirements)
Oven #1: Btu
Oven #2: Btu
Oven #3: Btu
Oven #4: Btu
Water Heater: Btu
Furnace: Btu
Other: Btu
Total gas requirements for store: Btu
Regulator Capacity: Btu
Meter Capacity: Btu
Are all appliances operable Yes No
Electrical Supply (per oven):
Volts Amps
Hz Phase
NOTE: Do not exceed 65 Hz on VFD settings
Step 1: Fill out all information and print legibly
Utilities present at installation: Electric Gas Restraint Cable installed on bottom oven: Yes No
Customer or store operator shown how to disassemble and clean ovens and hood: Yes No
Hood manufacturer All Oven/Hood features explained: Yes No
XLT Other__________________________ Interlock system for non-XLT hood: Yes No
Oven Initial Start-up Checklist - Remove & Return to XLT Ovens
Start-Up Information
Date of Start-Up: ________________________________________
Start-Up by: ____________________________________________
Phone #: _______________________________________________
Installer Information
Date of installation: _______________________________________
Installed by: _____________________________________________
Company:_______________________________________________
Phone #:________________________________________________
email:__________________________________________________
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