IGBT D IMMER RACKS Installation& OperationE NGINEERING C HECK -O UT R EQUEST F ORMPlease review the on the previous page. Upon completion of the requirements outlined in the Notice, make acopy of this form, complete all information and fax it to Genlyte Controls Technical Services (fax: +1-972-389-6175).3 W EEKS OTICE IS R EQUIRED !REQUESTED E.C.O. DATE: _________________________________________________________________Location of Job Site: __________________________________________________________________________________________________________________________________Please include directions from the nearest Airport to the Job Site.Job Name: _________________________________________________________________Order #: ________________ Distr / P.O. #: ________________Factory Representative: _________________________________________________________________Contractor Distributor: _________________________________________________________________Address: __________________________________________________________________________________________________________________________________Phone: _______________________ Fax: _______________________By returning this form, you certify that the system is ready for Engineering Check-Out and energization in accordance withthe Notice To Contractor. This includes all DMX512, Ethernet, and Lytemode ILS control terminations.You also certify that all personnel required for training by specification or contract will be available. At the completion oftraining, all personnel required by specification or contract must be present to accept the system.If the Field Service Representative arrives at the date and time you request, and the site is not ready, you will beresponsible for time and expense beyond what would have been required to complete the E.C.O. and/or for anyreturn visit(s).StreetStreetSignature ofCityCityStateStateZipZipContractor Distributor: _________________________________________________________________Print or Type Name: _________________________________________________________________Title: _________________________________________________________________Owner / Owner's Agent who willbe present to Accept the System: _________________________________________________________________Phone: _______________________ Fax: _______________________Make a copy of this page and fax completed form to Philps Controls Technical Services at +1-972-389-6175