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Serpentines can last up to ten years an an average car. When looking at the belt on the ribbed side, you need to replace it when there are two sections of ribbing missing within two inches from each other. If there is a small(1/2) piece missing from 1 rib, the belt is fine.
There is a good change the tension pulley will need to be moved farther for the 2004 Honda Element serpentine belt replacement because the old belt may have stretched. The new belt will need more clearance to get on the pulley.