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TANK AND LOCATION DATA <br />• <br />DATE: kll rl� k1�'i , "' ',;' ", <br />CUSTOMER: CITY: S h" c. <br />I.D. # STATE: <br />Page 2 <br />REPLACEMENT PARTS: PART # <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />DESCRIPTION <br />*Data obtained from 0 Station 0 LL Charts 0 Other <br />QUANTITY PRICE <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST <br />SCHEMATIC: <br />PRODUCT/TANK NO. <br />Fill Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge Fill <br />Gauge <br />Fill Gauge <br />cc <br />cr UJ <br />LEVEL <br />UO > <br />GALLONS <br />w LU <br />WATER <br />TOP OF RISER <br />GRADE <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />'S I <br />PUMP TYPE <br />TYPE OF COVER <br />t k -i fe <br />I AGE OF TANK <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />cr cc <br />w <br />VENT CONFIGURATION <br />0 > <br />0- 0 <br />,,t <br />L) <br />P -V VENT VALVE TYPE <br />> Uj <br />REPLACEMENT PARTS: PART # <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />DESCRIPTION <br />*Data obtained from 0 Station 0 LL Charts 0 Other <br />QUANTITY PRICE <br />