Laserfiche WebLink
0 <br /> Site Number Date <br /> ria Nuw*r Model Ffembsr �e Conawon' <br /> Dispenser No.&Fuel CA-Catlow CA-Callow <br /> Grade(Napplicable)able) EW-Emco Wheaton EW-Emco Wheaton Are they installed/mounted& <br /> lir lista dip Ie hose pas HL-Heady Write Model Number in spew provided HEE Heaty Write Model Number In P it In fun�oning properly <br /> �ty <br /> t regular,2 nddgrede, HK-Husky HU-Husky space provided Yes or No <br /> Clow <br /> 3,4,5 diesel,etc) VST-Vapor Syst VST-V None <br /> �tTF NA- <br /> v9t: �t)L• <br /> V Q- 015 RIC <br /> Use ss� o w�y <br /> � rV <br /> S wP,-q <br /> usr•66je- <br /> S T e-UPN 11 SQ' sfselc57 9 W�Ma <br /> n Svc <br /> N4 e te- U3T 5 earn. WAY <br /> �u @tiJs► sqY�p w0�r Y <br /> V.5T-a <br /> UF Nr LIVIL <br /> EVV1RONhJ1E,'NTNL HEALTH <br /> { <br /> RA14"'ti"F <br /> .. C .. law Ve <br /> Oftr <br /> What Is the location of the e-stop? <br /> S-Arched Solar Panel A-Attached Is there a Bii�oard on Does the site have Low Does the site ad E-N,B6 to <br /> IN-Inside Butidlrh a Buil How many F-Fiat Non-Solar Deck F-Free B20 or have an Electric Car <br /> BUILD-Outside on the Building canopies are Standing the property? Voltage Emergency Shut <br /> DISP-OutsWe kh the Dispenser Arca onsite? (for Data/CRIND/ Charging Station? <br /> TANK-Outside rreaz the Tank Fills NA-No Canopy NA-No Cary Yes or No Intercom)? <br /> (Ctrots,ALL that apply) Yes or No <br /> ot5o DISP TANK 1 / YZ 5 <br /> issued 05/11/2017 Page 4 of 4 <br />