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System Details <br /> Owner's Name,Address,Phone: System Address,if Different than Owner's Address: <br /> Contractor's Name,Address,Phone: Engineer's Name,Address,Phone: <br /> Contractor's License Number: Designer's License Number: <br /> Installation Date: Number of Bedrooms: <br /> Design Flow in Gallons/Day: Septic Tank Filter: ❑No ❑Yes,Location: <br /> Eljen Products Used: ❑GSF A42 ❑GSF B43 Number of GSF or Mantis Modules Used: <br /> Number of Rows: GSF or Mantis Modules per Row: <br /> Septic Tank: Other Components: <br /> System Design: ❑Bed ❑Trench ❑Pressure Distribution ❑Mound/Elevated System ❑Pumped ❑Other: <br /> System Type: ❑Repair/Replacement ❑New Construction ❑Upgrade/Modification <br /> Structure Type: ❑Residential ❑Commercial <br /> System Use: ❑Year-Round ❑Seasonal <br /> Eljen Corporation Standard Limited Warrantyfor Septic Products <br /> Each GSF or Mantis Module manufactured by Eljen Corporation and installed and operated as an on-site treatment system in accordance with Eljen Corporation's installation instruc- <br /> tions,is warranted to the original system owner against defective materials and workmanship for two years from the date the system is inspected and activated for operation.In order <br /> to exercise its warranty rights,the original system owner must notify Eljen Corporation in writing at 125 McKee Street,East Hartford,Connecticut 06108 within 15 days of the alleged <br /> defect.Eljen Corporation will supply replacement Modules determined by Eljen Corporation to be defective and covered by this Limited Warranty.Eljen Corporation's liability specifically <br /> excludes the cost of removal and/or installation of the Modules;damage to the Modules due to ordinary wear and tear,alteration,accident,misuse,abuse or neglect of the Modules;the <br /> placement and or use of improper materials into the system containing the Modules;failure of the Modules or the septic system due to improper design,improper installation,excessive <br /> water usage,improper grease disposal,or improper operation;not using specified materials during system construction specifically sand meeting the ASTM C33 specification;or any <br /> other event not caused by Eljen Corporation.System owners shall consider the Modules as single use,and re-use of Modules that were previously installed in an activated on-site system <br /> shall void this Limited Warranty.For this Limited Warranty to apply,the Modules must be installed in accordance with all site conditions required by state and local codes,all other appli- <br /> cable laws,and Eljen Corporation's installation instructions.This Limited Warranty and its remedies are exclusive and shall apply to no other party other than the original system owner. <br /> THERE IS NO IMPLIED WARRANTY OF MERCHANTABILITY AND THERE IS NO IMPLIED WARRANTY OF FITNESS FOR BUYER'S PARTICULAR PURPOSE;THE IMPLIED <br /> WARRANTY OF MERCHANTABILITY AND THE IMPLIED WARRANTY OF FITNESS FOR BUYER'S PARTICULAR PURPOSE ARE HEREBY DISCLAIMED.THERE ARE NO WARRANTIES <br /> WHICH EXTEND BEYOND THE DESCRIPTION ON THE FACE HEREOF. <br /> UNDER NO CIRCUMSTANCES SHALL ELJEN CORPORATION BE LIABLE TO THE SYSTEM OWNER OR ANYTHIRD PARTY UNDER THIS AGREEMENT OR OTHERWISE FOR <br /> (a)ANY LOSS OR DAMAGE CAUSED BY OR ARISING OUT OF ANY DELAY IN FURNISHING ANY MATERIALS UNDER THIS AGREEMENT OR ANY ACTTHAT IS NOT INTENTIONAL <br /> OR RECKLESS IN NATURE;OR(b)ANY INDIRECT,SPECIAL,EXEMPLARY OR CONSEQUENTIAL DAMAGES,REGARDLESS OF WHETHER ELJEN CORPORATION HAS BEEN ADVISED <br /> OF THE POSSIBILITY OF SUCH DAMAGES.WITHOUT LIMITING THE FOREGOING,SYSTEM OWNER OR ANYTHIRD PARTY'S SOLE AND EXCLUSIVE REMEDY IN RESPECT OF <br /> THIS AGREEMENT AND THE MATERIALS FURNISHED HEREUNDER SHALL BE LIMITED TO THE REFUND TO SYSTEM OWNER OR ANY THIRD PARTY OF THE APPLICABLE FEES ACTUALLY PAID <br /> TO ELJEN CORPORATION UNDER THIS AGREEMENT WITH RESPECTTO THE PARTICULAR MATERIALS AT ISSUE.IN NO EVENT SHALL ELJEN CORPORATION'S LIABILITY HEREUNDER EXCEED <br /> THE APPLICABLE FEES ACTUALLY PAID TO ELJEN CORPORATION UNDER THIS AGREEMENT WITH RESPECTTO THE MATERIALS AT ISSUE. <br /> This is the Standard Limited Warranty offered by Eljen Corporation.Any purchaser or potential system owner of Modules should carefully read and understand this warranty prior to the <br /> purchase of the Modules. <br /> To register your Eljen System,visit www.eljen.com/homeowner <br /> r <br /> en <br /> CORPORATION <br /> Innovative Onsite Products and Solutions Since 1970 <br /> www.eljen.com <br /> Patented 02018 1869-11/18 <br />