Taylor-Wharton KeepFull Telemetry System User Manual
Page 12
(000) 000-0000
12
Appendix A: Example of Bulk Vessel Registration Form
JL Welding Company
Jane Doe
123 Any Street
XX
00000
Someville
00/00/00
(000) 000-0000
Bulk Vessel Registration Form
Please fax this completed form Attention: Taylor Wharton Technical Response Group (334) 443-2250 for each telemetry
device to be installed. This information should agree with that provided on “Schedule One: Customer Information form” that
was provided when your telemetry unit was ordered.
Contact for Website User Name and Password
Customer Name:
Contact:
Date:
Street:
City:
State:
Zip:
Phone: Service Agreement Number:
Tank Site Information
Site Name:
Installed by:
Streeet:
City:
State:
Zip:
Phone:
Please sketch the overall tank area, noting South and solar panel direction.
T
ank Information
Tank identification at tank site: (Serial # preferred)
(Nominal size/model)
Product:
Full Reading:
(inches of H
2
O
)
Reorder Reading:
(inches of H
2
O
) Low Level Alarm Reading
(inches of H
2
O
)
Please circle one:
Tank Orientation: Vertical or Horizontal
Unit installed on: Tank or Instrument Stand
Original D.P. Gauge: Removed or Retained
Are Extra Alarms to Customer Required? Yes or No
S
Note any obstructions:
Note any power sources:
Telemetry Device Information
Device I.D.
Sensor span:
Comments
Building
Building
Ace Metal Works Inc.
Jack Doe
78 Ginger Rd.
XX
Someville
S/N-XXXX
VT-6,000-250
Nitrogen
311
100
85
108
152
FGD123P4
0-400
TWRB-123
00000