Bulk vessel registration form – Taylor-Wharton KeepFull Telemetry System User Manual
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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
Tank liquid level and pressure prior to disconnection of existing gauges:
Pressure:
(psig)
Liquid level
(inches)
S
Note any obstructions:
Note any power sources:
Telemetry Device Information
Device I.D.
Sensor span:
Comments:
Building
Building