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i <br /> APPENDIX E(Continued from Page 46) <br /> SITE SKETCH(Indicate specifics of tank installation.) ADDITIONAL NOTES <br /> Note any variations and/or deviations from <br /> instructions(and attach written authorizations): <br /> i <br /> i <br /> I <br /> i <br /> i <br /> i <br /> I <br /> i <br /> I <br /> VERIFYING SIGNATURES <br /> CONTRACTOR TANK OWNER/REPRESENTATIVE <br /> I verify that this information is a true record of the installation Iverify that this lnformationisatrue record ofthe instal lationofthe <br /> of the tanks listed here, tanks listed here,and that I have received a copy of the Installation <br /> Manual and this Tank Installation Checklist. <br /> Name: Name: <br /> Telephone: Telephone: <br /> Email: Email: <br /> Address: Address: <br /> Signature: Signature: <br /> Date: Date: <br /> TO INSTALLER:After tank installation,deliver the Installation Manual with the completed Tank Installation Checklist to the tank owner.Retain a copy <br /> of each foryour records. <br /> TO OWNER:After installation,retain the limited warranty,the Installation Manual and completed Tank Installation Checklist forfuture reference and <br /> to facilitate any warranty claim. <br /> ``L XERXES APPENDIX 47 <br />