HSB, ATS MODEL & SERIAL REFERENCE ATS BACK-UP CIRCUITS
HSB Model Number
_____________________________________
HSB Serial Number
_____________________________________
Fuel Type
LPG______________ NG________________
ATS Model Number
______________________________________
ATS Serial Number
______________________________________
ATS circuits powered ______________________________________
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____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
Date Installed
_____________________________________
Dealer/Installer
_____________________________________________________
Address
_____________________________________________________
_____________________________________________________
Phone
_____________________________________________________
Cell
_____________________________________________________
Purchased from
_____________________________________________________
© 2015 Champion Power Equipment
ADDITIONAL INFORMATION
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____________________________
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Model 100136
Part No. 101306 Rev. A
43