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Checkout form, part 1, Tank/system setup information – Ronan X76CTM User Manual

Page 36

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CHECKOUT FORM, PART 1

Installation Location

Date ______________________________________________

Facility Name _______________________________________

Street _____________________________________________

City ____________________ State _______ Zip ___________

Phone Number ______________________________________

Owner/Manager _____________________________________

Installed By

Date ______________________________________________

Facility Name _______________________________________

Street _____________________________________________

City ____________________ State _______ Zip ___________

Phone Number ______________________________________

Installation Supervisor _________________________________

Distributor

Date ______________________________________________

Facility Name _______________________________________

Street _____________________________________________

City ____________________ State _______ Zip ___________

Phone Number ______________________________________

Tank/System Setup Information

Serial Number _________________

To validate warranty, return one copy of Part 1 and one copy of WARRANTY REGISTRATION (Part 2) to: RONAN ENGINEERING COMPANY, 21200 Oxnard Street, Woodland Hills, CA 91367

State

1

2

3

4

5

6

7

8

Product Label

Probe Serial Number

Speed of Wire

Tank Manufacture and Model

Tank Wall - Steel or Fiberglass

If Steel, Diameter in Inches

Tank Capacity - Gallons Full

If Fiberglass, 1/4 Height Gallons

Tank Tilt

Distance of Probe Riser to Center of Tank

Distance Between Fill Riser and Probe Riser

Product Height at Fill Riser

Product Height at Probe Riser

Manifolded Tanks

Initial Water Level

Initial Product Level

High Level Alarm Limit (Gallons)

Hi Hi Level Alarm Limit (Gallons)

Low Level Alarm Limit (Gallons)

High Water Alarm (Inches)

Theft Gallon Limit

Leak Detect Threshold (Tanks)

Leak Detect Start Time (Tanks)

Leak Detect Stop Time (Tanks)

Leak Detect Theshold (Lines)

Leak Detect Start Time (Lines)

Leak Detect Stop Time (Lines)

Relay #1

Relay #2

Relay #3

Relay #4

Contact Inputs