Section 2120.EXHIBIT B Steam Heating Boilers

OFFICE OF THE STATE FIRE MARSHAL DIVISION OF BOILER & PRESSURE VESSEL SAFETY 1035 STEVENSON DRIVE SPRINGFIELD, IL 62703-4259 (217)782-2696 FAX: (217)782-1062 Operational and Maintenance Log Building: Month: Year: Steam Heating Boilers Address: Fuel Type: Person(s) to be Notified in Emergency (Name and Telephone No.) Illinois No.: CHECKS (Enter Date) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (1) Observe Water Level (2) Record Pressure. (3) Record Flue Gas Temp. CHECKS (Enter Date) (1) Test Low Water Cutoff WEEK 1 WEEK 2 WEEK 3 WEEK 4 (2) Test Gage Glass (3) Observe Flame Condition CHECKS (Enter Date) (1) Manual Lift Safety Valve (A) Linkages (F) Floor Drains (B) Damper Controls (G) Flame Detection Device (2) Review Condition of (C) Stop Valves (H) Limit Controls or Test Each Item (D) Refractory (I) Operating Controls (E) Flue-Chimney Breeching (3) Inspect Fuel Piping (4) Combustion Air Adequate/Unobstructed General Comments:		OFFICE OF THE STATE FIRE MARSHAL DIVISION OF BOILER & PRESSURE VESSEL SAFETY 1035 STEVENSON DRIVE SPRINGFIELD, IL 62703-4259 (217)782-2696 FAX: (217)782-1062		Operational and Maintenance Log	Building:	Month:	Year:		Steam Heating Boilers	Address:	Fuel Type:	Person(s) to be Notified in Emergency (Name and Telephone No.)	Illinois No.:	CHECKS (Enter Date)		1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31	(1) Observe Water Level																																(2) Record Pressure.																																(3) Record Flue Gas Temp.																																																																CHECKS (Enter Date)	(1) Test Low Water Cutoff	WEEK 1	WEEK 2	WEEK 3	WEEK 4	(2) Test Gage Glass					(3) Observe Flame Condition					CHECKS (Enter Date)	(1) Manual Lift Safety Valve		(A) Linkages		(F) Floor Drains			(B) Damper Controls		(G) Flame Detection Device		(2) Review Condition of	(C) Stop Valves		(H) Limit Controls			or Test Each Item	(D) Refractory		(I) Operating Controls			(E) Flue-Chimney Breeching				(3) Inspect Fuel Piping				(4) Combustion Air Adequate/Unobstructed				General Comments:
	OFFICE OF THE STATE FIRE MARSHAL DIVISION OF BOILER & PRESSURE VESSEL SAFETY 1035 STEVENSON DRIVE SPRINGFIELD, IL 62703-4259 (217)782-2696 FAX: (217)782-1062
Operational and Maintenance Log	Building:	Month:	Year:
	Steam Heating Boilers	Address:	Fuel Type:
Person(s) to be Notified in Emergency (Name and Telephone No.)	Illinois No.:
CHECKS (Enter Date)
	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31
(1) Observe Water Level
(2) Record Pressure.
(3) Record Flue Gas Temp.
CHECKS (Enter Date)
(1) Test Low Water Cutoff	WEEK 1	WEEK 2	WEEK 3	WEEK 4
(2) Test Gage Glass
(3) Observe Flame Condition
CHECKS (Enter Date)
(1) Manual Lift Safety Valve
	(A) Linkages		(F) Floor Drains
	(B) Damper Controls		(G) Flame Detection Device
(2) Review Condition of	(C) Stop Valves		(H) Limit Controls
	or Test Each Item	(D) Refractory		(I) Operating Controls
	(E) Flue-Chimney Breeching
(3) Inspect Fuel Piping
(4) Combustion Air Adequate/Unobstructed
General Comments:

(Source: Added at 23 Ill. Reg. 162, effective January 1, 1999)