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System Information
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Facility Information
Project Name:
Site Address:
City:
State:
Zip Code:
Start-Up Date:
Start-Up Performed By:
Owner
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Designer/Engineer
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Installer
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Operator/Service Provider
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Operator Trained:
Yes
No
Dealer
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Regulator
Company Name:
Contact Name:
Site Address:
City:
State:
Zip Code:
Phone:
Email:
Attended Start-Up:
Yes
No
Description of Kitchen Facilities (if applicable):
Water Softener System Present:
Yes
No
If yes, backwash plumbed to:
Water Source Available:
Yes
No
O&M Manual Received:
Yes
No
Operator Has O&M Tools:
Yes
No
Operator Has Spare Parts:
Yes
No
Comments:
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