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SITE SKETCH (Indicate specifics of tank installation.) <br />APPENDIX E <br />ADDITIONAL NOTES <br />Note any variations and/or deviations from <br />instructions (and attach written authorizations): <br />VERIFYING SIGNATURES <br />CONTRACTOR <br />TANK OWNER/REPRESENTATIVE <br />I verify that this information is a true record of the installation <br />of the tanks listed here. <br />Name: <br />Telephone: <br />I verify that this information is a true record of the installation of the <br />tanks listed here, and that I have received a copy of the Installation <br />Manual and this Tank Installation Checklist. <br />Name: <br />Telephone: <br />Email: <br />Email: <br />Address: <br />Address: <br />Signature: <br />Signature: <br />Date: <br />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 />TO OWNER: After installation, retain the limited warranty,the Installation Manual and completed Tank Installation Checkl ist for futu re reference and <br />to facilitate any warranty claim. <br />ZCL° � XERXESx 47 <br />