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TANK INSTALLATION CHECKLIST <br /> SITE SKETCH(indicate speacs of tank Installation.) ADDITIONAL NOTES <br /> Note any variations and/or deviations from <br /> 77 instruct ons(and attach written authorizations): <br /> iApm Afrief IeA k 01 4 61 <br /> "AtM M4jh CO-124/tW11-11 4LI� <br /> OK" ti ed-W&Ma It <br /> J� C Cd--0/4-64449 PLj-- <br /> Q <br /> ; -S <br /> &x-5 5-eA 0�e sk or C Iq W <br /> R,6 <br /> deLA��eib <br /> 36o,. 4c..k te,.t-w <br /> A*b Ali <br /> VERIFYING SIGNATURES <br /> CONTRACTOR TANK OWNER/REPRESENTATIVE <br /> I verify that this information is a true record of the installation of the tanks I verify that this information is a true record of the installation of the tanks <br /> listed here. listed here,and that I have received a copy of the Installation Manual <br /> and this Tank Installation Checklist. <br /> Name: 4rc Name: j<; ,,c <br /> 141L, <br /> COA tript <br /> Telephone: ( 10 (6,30 IS-00 Telephone: 6��6 0 <br /> Email: "ean C+T—00A4y0-C.+b'rK.-CC)V"1 Email- 4-CC-C�-" 6 0 <br /> Address: �2,6(o L-kx,�kx" 'bl- Address:32 1—b <br /> 1Za.,,A,, C&rdbj&, Ct� 'IS-�'Y2- <br /> Signature: Signature: <br /> Date: Date: lo—7— <br /> &61 -14 <br /> I <br /> TO INSTALLER:Aftertank installation,deliverthe Installation Manualwith the completeclTank Installation Checklistto thetankowner.Retain a copyof <br /> each for your records. <br /> TO OWNER:After installation,retain the limited warrantythe Installation Manualand completedTank Installation Checklist for future reference and to <br /> facilitate any warranty claim. <br /> :� XERXES" 39 <br />