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Record of, System Pacts <br /> (Record in Pencil) Property Address Dealer Name <br /> Property Owner Name s) Dealer Phone <br /> Property Owner Phone <br /> Engineer Name <br /> Property Owner E-Mail <br /> ngineer Phone <br /> Start-Up Date <br /> lnstaller Name <br /> AdvanTex'Model# installer Phone <br /> Advan ex'Sen Number on Iter pod) <br /> Service Provider Name <br /> Contras Panel Model# <br /> Service Provider Phone <br /> Float Model s <br /> Pumps Model#(s) Regulatory Authority <br /> Pumps)Design Specifications: Permit#Cd applicable) <br /> gpm gpm Contact Name <br /> Design Flow Contact Phone <br /> Tans Ee_(s) <br /> Recirc Ratio(start-up) <br /> Recirc Timer Settings <br /> AdvanTex' <br /> Discharge Timer Settings(when applicable) Treatment System Orenco gym• <br /> AXN Models meet Incorporated <br /> the requirements ChWT*A6 pa,dv <br /> Initial Squirt Height ofANSt-NSF Wa&DoaW&&wwv0 <br /> Standard 40 for 1-800-348-98" <br /> Dispersal Method Class i Systems, wrwrn.orence.com <br /> Distributed by: <br /> E <br /> AIM-OM-ATX <br /> Rev.3A.®7/03 <br /> Oreaea SyslamsO lnc. <br /> A, A <br />