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01;29/2009 15:02 2093695566 <br />MERITAGE <br />"Save a child's life. Vac-AlertTM saves lives." <br />VAC -ALERT FIELD VA -2000 INSTALLATION DATA SHEEI <br />1-800-374-7405 <br />PAGE 02 <br />A copy or this installation form MUST be mailed or faxed to Vac -Alert Industries, LLC within 10 days of <br />installation to maintain all producx warranty. Mail to: Vac -Alert Industries, 336 Nest College Ave, Santa <br />Rosa, CA 95401 or fax to (707)-576-8286. <br />A. Valve ARL serial number:_ Qtil 179 7 <br />B. Installation performed on: Pool Spa( ) Fountain( ) Other( <br />C. Did pool or spa have multiple main drains? Yes( ) Noga <br />D. Did valve trip three consecutive times? YesN No( ) <br />Name of Purchaser: <br />6R <br />T /a Car <br />A A/eT M6�121S <br />Installation Address: <br />�% `rtU <br />LLQ . j <br />r £'t' Pcl Lc o(' CA <br />I have discussed with the owner and/or individual the complete operational and testing procedure <br />for the SVRS unit <br />Installation Performed <br />Date of Installation: I "�r1- a 0 o 9 <br />►`[dl lll�7! �Tld <br />`191.i1YF��'1411 17IMM777EY <br />tD!fl�iTil7,117R <br />r � <br />This w fi does noc offer pratectioll ■.�.� .. <br />from hair <br />efrwnmenr, Please h -sure to install recognized anti- <br />entragment drikin covers. <br />Rev i.ofi <br />