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`TLS 250/TLS-250i� � -- - -- NO- 14885 <br /> WARRANTY REGISTRATION AND CHECKOUT FORM <br /> •INSTALLATION DATE: � ' 7 ' rJ z <br /> f' INSTALLATION LOCATION INSTALLED BY <br /> Oil Company ��'��i ") r r�.> • Company Name <br /> Brand N�me Address <br /> J Y <br /> Street 1 3e) ) 1"� n ! Cl r r u:r' r'• <br /> City T ice' / St` 4 Zip ti 7 City St _ Zip <br /> Installation <br /> Manager- 2Supervisor <br /> EQUIPMENT IDENTIFICATION INTERSTITIAL SENSOR IDENTIFICATION <br /> MONITOR FORM NUMBER MONITOR SERIAL NUMBER SENSOR <br /> TANK SUMP SENSOR TPNK SUMP <br /> SERIAL NUMBER NUMBER OTHER SERIAL <br /> NUMBER NUMBER OTHER <br /> NUMBER NUMBER <br /> SERIAL NUMBER LENGTH 1A C/`° l3 t_; ,4 5A <br /> Probe 1 .L/« 1B 7 5B <br /> Probe 2 ' 2A 6A <br /> Probe 3 2B 6B <br /> Probe 4 3A 7A <br /> Probe 5 gg 76 <br /> Probe 6 <br /> Probe 7 4A 8A <br /> Probe 8 4B I 18B <br /> TANK DATA MEASUREMENT DATA <br /> • Gallons Diameter Steel Fiber Single Double Fuel-Type Stick Height Tank Chart TLS Height TLS Gallons <br /> Glass Wall Wall Gallons <br /> TANK t <br /> TANK 2 <br /> TANK <br /> TANK 4 <br /> TANK S <br /> TANK 6 <br /> TANK 7 <br /> TANK 8 <br /> Is the TLS system connected to a modem? DYES a7 qi <br /> If yes, what type of modem? Phone Number <br /> Is there a good earth ground connected to the power supply terminal 5 using a 12 AWG wire?-ff'?f^S D NO <br /> Did you encounter any problems during checkout or start-up? D YES C� - <br /> If yes, please describe: <br /> DISTRIBUTOR CUSTOMER <br /> I hereby certify that this system has been installed in All equipment is operating correctly_p YES O NO <br /> accordance with the procedures specified in the Veeder-Root I have been trained in the proper operation of this equipment. <br /> proper site prep and installation manual. I have also read all J;-YES D NO <br /> of the warnings and I certify that there are no intrinsic safety <br /> violations ouee to unproperrInstallation of system. Signature <br /> Signature ___" •� 7 �: - Date <br /> Date _ ! - -7 � � f <br /> Company _J.i.I .=s 1> �•-f;, . �w.. - VEEDER-ROOT <br /> Address L % ■7 <br /> Environmental Products t. <br /> 125 Powder Forest Drive,Poet Office Bos 2003.Simsbury,CT 06070.2003 TEL:(203)651-2700.FAX:(203)651-2750 <br /> CUSTOMER AS pe IED 89 <br /> 231268 11016 replaces 10688 u'BA <br />