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APPENDIX E (Continued from Page 46) <br />y�� �� AQDITIONALNQTES �; ,z° <br />Note any variations and/or deviations from <br />instructions (and attach written authorizations): <br />` VERIFYINGSIGNATURES <br />CONTRACTOR <br />TANK OWNER/REPRESENTATIVE <br />I verify that this information is a true record of the installation <br />I verify that this information is a true record of the installation of the <br />of the tanks listed here. <br />tanks listed here, and that I have received a copy of the Installation <br />Manual and this Tank Installation Checklist. <br />Name: f�Li(7/✓ ��(/C/�/�Ir_Q/C <br />Name: <br />Telephone: �/%� �_ <br />— <br />Telephoner <br />Email: GV GLO��L�/�_ <br />Email: <br />Address: �� ��� <br />Address: <br />Signature: a4 <br />Signature: <br />Date: q— g ^ <br />Date: <br />TO INSTALLER: After tank installation, deliver the Installation Manual with the completed Tank Installation Checklist to the tank owner. Retain a copy <br />of each for your reco rds. <br />TO OWNER: After installation, retain the limited warranty, the Installation Manual and completed Tank Installation Checklist forfuture reference and <br />to facilitate any warranty claim. 1-1 <br />ZCL I XERXES® APPENDIX E 47 <br />