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0 <br />Field Report <br />Date: <br />Customer P4'0>�li-'w� "?'JCS Location �'NGe7aN P1+eTa[ 4+cUA' <br />Product Type -1.2 Tank Gallons Tank;; <br />Leak Detector: ['] Yes Ev/ No [✓] Not Required <br />Pumps: [ ] Suction; [ ] Product line disconnected <br />[ ] Charged" <br />[ ] Submerged; [ ] Pump riser vented [✓] None <br />Calibrated: [v�Yes [ ] No [ ] Unable to calibrate <br />Vapor Recovery: [vf No [ ] Yes; [ ] Vapor lines disconnected <br />�,/1�1 u q <br />Tank: Diameter_.._'"�...->'Length............... Risers: DiameterHeight„ a6 <br />Overall Depth Ijb�", J.L=u' Diameter-� Height <br />Diameter .............. Height........ <br />U <br />Product Level on Arrival: _--„�....,.,.._ (from top). Gallons added: b <br />Time since last product added: �6b 6'� Gallons added:-7Z:>P <br />Water: Table �)�” Before Cl "/_. L?- After rd / o <br />Capacity: Nominal_'. (+) Actual.S1JLrC (--) Water. O (=) Total <br />�v <br />Weather: [✓] Clear [ ] Cloudy [ ] Rainy Outside Temperature: <br />Comments: <br />Plot Diagram - not to scale <br />( � As 1, - ) ) <br />n <br />