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APPENDIX E(Continued from Page 46) <br /> 011011 <br /> :-zsn�ti il�� r... , r ,.?�:�.� •tr;x. <br /> a k � � ,� � b ESK7C >fjaictpe'di o�l ;�,v w 1Ft�pDITON�IL MOTES "' <br /> Note any variations and/ordeviatilonsfrom <br /> instructions(and attach written authorizations): <br /> i <br /> ; <br /> ,I <br /> , <br /> I <br /> I <br /> I <br /> I <br /> ; <br /> I <br /> I <br /> I <br /> ; <br /> I _ <br /> i <br /> i <br /> i <br /> 1 �V <br /> I n <br /> 1 _ <br /> i CCD <br /> , <br /> i <br /> i <br /> ; <br /> ; <br /> i <br /> ; <br /> � X H a y��c.' :Xraw < ,r x ti �, rr q�• � �t .. �,. .`�.,: <br /> a�i'��-�).�����r r ���m?.a,� z ``y` '�a�a���'e ��vy�r, E, ' .,x, _}� �+,. .•�- �i�t'�k:�� '*�1�� K,-?Y �rte' <br /> CONTRACTOR TANK OWNER/REPRESENTATIVE <br /> I verify that this information is a true record of the installation I verify that this information is a true record of the installation of the <br /> of the tanks listed here. tanks listed here,and that I have received a copy of the Installation <br /> Manual and thisTank Installation Checklist. <br /> Name; �� Name: <br /> Telephone: (2/6) 3 79?.rgg�' Telephone: <br /> Email: Email: <br /> Address: Pp A?1Ve 10Af Address: <br /> — <br /> Signature Signature: <br /> ; <br /> Date: 1 I3 ` 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 for your records. <br /> I <br /> TO OWNER:After installation,retain the limited warranty,the Installation Manual and completed Tank Installation Checklist for future reference and <br /> to facilitate any warranty claim. <br /> ; <br /> ZC1. XERXES APPENDIX E 47 <br />