Laserfiche WebLink
TANK AND LOCATION DATA <br />CUSTOMER. - - - -- l 'I —?—1 " - - -- ----- --- CITY: - <br />( STATE: <br />I.D. #-- -= -_- ----- f - — =— -- -- <br />Page 2 <br />DATE: <br />i <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from tation ❑ LL Charts F-1Other�JKf l� ry <br />l t4 J !, L <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST - <br />AFTER TEST - <br />SCHEMATIC: <br />i <br />1 <br />I <br />k <br />PRODUCT/TANK NO. <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge ,' <br />Fill <br />Gauge <br />Fill Fill <br />Gauge <br />LU ¢ <br />LEVEL <br />cc Lu <br />p> <br />LL <br />GALLONS <br />J <br />CoLu o <br />WATER <br />71 <br />TOP OF RISER <br />GRADE <br />i i C <br />l <br />DROP TUBE <br />;42, <br />UIq <br />rUG''�� <br />-� C� r% <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />PUMP TYPE <br />r` <br />- t' <br />! <br />•� <br />TYPE OF COVER <br />�r ,.,t �r�� i. j r_ <br />AGE OF TANK <br />�T'�"�^ <br />�(Ji%l.JJ C,11.J <br />,�/)d <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />Cr <br />VENT CONFIGURATION <br />O > <br />a p <br />P -V VENT VALVE TYPE <br />V <br />,. - <br />I <br />11 <br />/ <br />w <br />D CD Ar`CnnCKIT Dn RTC• PART d/ <br />DESCRIPTION <br />PRICE <br />i <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from tation ❑ LL Charts F-1Other�JKf l� ry <br />l t4 J !, L <br />