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r TANK AND LOCATION DATA Page 2 <br />DATE: <br />CUSTOMER: _ _ CITY: <br />I.D. # -- — - STATE: <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST — <br />SCHEMATIC: <br />PRODUCT/TANK NO. <br />} <br />Lu w <br />M: w <br />LEVEL <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />0 > <br />J <br />GALLONS <br />w <br />CO o <br />WATER <br />TOP OF RISER <br />GRADE <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />PUMP TYPE <br />TYPE OF COVER <br />AGE OF TANK <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />Lu <br />VENT CONFIGURATION <br />O > <br />Q p <br />P -V VENT VALVE TYPE <br />> w <br />w <br />REPLACEMENT PARTS: PART #! <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />DESCRIPTION <br />"Data obtained from ❑ Station 11 LL Charts ❑ Other <br />QUANTITY PRICE <br />