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^ 7 <br />CUSTOMER: > j- <br />I.D. /{ !" <br />TANK AND LOCATION DATA Page 2 <br />DATE: ' <br />' t7. <br />CITY: <br />STATE <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from ❑ Station <br />0 LL Charts 0 Other <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST — <br />SCHEMATIC: <br />t ., <br />�Jy <br />• <br />r> <br />f <br />a <br />p <br />4 <br />!4 <br />. <br />1 <br />PRODUCT/TANK NO. <br />L w <br />LEVEL <br />Fi <br />Gauge <br />i=ill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />LL J <br />GALLONS <br />Lu <br />m p <br />WATER <br />TOP OF RISER <br />GRADE <br />DROP TUBE <br />CAPACITY, GALLONS <br />f) r;i <br />;: �; <br />, <br />DIAMETER, INCHES <br />MATERIAL <br />PUMP TYPE, <br />TYPE OF COVER <br />4..,� <br />.�. 'tI- <br />'�'� k'„• <br />AGE OF TANK' <br />SIPHON <br />TANK OPENINGS <br />.1 <br />EXTRACTORS <br />TYPE <br />f, <br />} <br />cr w <br />O <br />VENT CONFIGURATION <br />] <br />a O <br />P -V VENT VALVE TYPE <br />i' <br />� <br />>v <br />. <br />Lu <br />cc <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from ❑ Station <br />0 LL Charts 0 Other <br />