Centeron
®
Digital Two Channel Monitor Instruction Manual
Robertshaw Industrial Products
Page B-1
Appendix B: Site Survey Form
Figure 4: Site Survey Form
Robertshaw Centeron
®
Level Monitoring System
Digital Two Channel Monitor Site Survey Form
Contact Name:
Contact Address:
Contact Telephone Number:
GPS Location
(latitude/longitude):
Product Name:
Product ID:
Tank Contents:
Description of Use (overfill
protection, sump level
monitoring, etc.)
