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Jul 06 10 11:05a Elite IV Contactors 12094616342 p.3 <br />• Mam 18 09 12:53p E1' Iv Contraotors Inc s'u54b1b d ,>(._`-P��j <br />Fac Uty Flame 04 ,�, _ i?aec n..- � �erlctag: —/—/— <br />ID. <br />l..—f <br />D. Resatts of TesdoeSernicing <br />Q Ycs Q NO* if a are n�ayt d to S sanoee tnottitae>gQ statioq is alt a acsatow egttiptneet (e.g. modem) <br />01 NfA k? <br />es Q No' <br />X/A <br />U netfad by any monitoAft equiomicur,:eta tcgluerneM fi.xs'4W*r bltmries avaelahke? <br />Ycs 0 Na' <br />Q WA <br />For ed pVjAl; tystems, does the tarbw 'espy sbtu if the piptot; WmAdmy tOtuaitttl1extt <br />abonito�g system a kak. faits m operate, of is Heft =A11y tlt airmecced? If yes: which aet►toas sattiale <br />posisive shat -do"! (Check all that Rpplyj D SwVT ; 0 Dispenser Cont Ru%;ectt Scmoss. <br />Did you contpositive shun -down due to !cats 3AB stasot fa7tud ' ® Yes: D No. <br />Ycs R No- <br />0 WA <br />Far meelitorin syumn thea a)so serve as tank evetfkl wauft devices, is the dvetfaS wasateg RUM visible <br />nail aaedable at dw lurk Ertl poidt(s) Suit opetaaae properly'. if so. at what Percent of tank Capacity does Slee <br />adum ' ... _% <br />0 Ycs•' No <br />. <br />, oe a egaiptatctac wplaced <br />'Was may replaced' if yes, �arafy We fc sen4 m. plebesotb <br />taad list the ttuoaiactattex nun and model foe all i in Samoa below. <br />❑ Yr c No <br />Wu xny syxtcne sotlw*m upgraded? UM. mieatifr the new ve lsion slumber m sec-tiOn E. below. <br />Yea• 0 No <br />Was lkpud farad inside any secondary at SYstemcs? (Check all d ae apply] 0 Pn+dobt; Ater. t4 <br />aatusm nt Seaxtion E below. ///��� <br />" JA X bekw. ateaedbe bow and when a gm elaGck4mies were or "M be torarctes< <br />F.. Con meat V D s !w e. c gni ^ f e Xi qt 1, <br />Pxga 3 of *4 CenMeittion tant be cttaepleted ,04 aMmW oalr if one or nwc of the "awtor eaadhioac arc meets i.) [a• <br />to* gauping eel to awed to perfarew leak detection monit*Uf,- • t.) Line leak dctectors are iao&llcd on piping systems: <br />3.1 Uo.wpledon :s rc"lrvd tay.y®w fecal age -W that t agntatea US7 3yate,,s. <br />C LM41 Z OiaZ3Nf <br />