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3 <br /> { <br /> f <br /> 1 <br /> TANK INSTALLATION CHECKLIST <br /> i <br /> , i ' , <br /> fs,: .: peifresol } .a� e ' tt ) I U1 <br /> adfcfa <br /> ' PDitlONgi NATES <br /> ,. . ... Y.15 : ..,, . . . . , , . , ,, : > <br /> Note any variations and/or deviations from <br /> instructions (arid attach written authorizations): <br /> ' W <br /> 1 <br /> 1 - <br /> I <br /> i <br /> 1 <br /> i <br /> i <br /> f <br /> { <br /> 1 a, <br /> .h=' <br /> ao .:v- <br /> :�tv �•,:��� ' IG . Y KESS": <br /> CONTRACTOR ; TANK`OWNER/REPRESENTAT#VE <br /> 1 _ <br /> I verify thatthis information is a true record of the installation of the tanks I verify thatthis inform�ion is a true record of the installation of the tanks <br /> I listed here . listed , and thaf I have received a copy of the Installation Manual <br /> and this Tank Installation Checklist. _ <br /> I <br /> Name : • " � Name : 2 <br /> J �',. .. cf <br /> Telephone : (11.6 29 Telephone: 559/241 -9182 <br /> Email L � l✓4'� ' �ii/,�. ld Email : jeremy . fredrichs@7 - 11 . com <br /> Address: 20Ne 10015 _ Address : <br /> ®x o21 &16)!?q <br /> J <br /> Signature: G J )� Signature : <br /> 09 <br /> 3 <br /> Date : Date : 8/ 17/22 <br /> TO INSTALLER : Aftertank installation, deliver the Installation Manual with the completed Tank Installation Checklist to the tank owner. Retain a copy of <br /> each for your records . <br /> TO OWNER: After installation, retain the limited warranty, the Installation Manual and completed Tank Installation Checklistforfuture reference and to <br /> facilitate any warranty claim , <br /> Aft ANk <br /> Z C L I X E RX E S® IMOG1119PP 7 <br />