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by - 2096 Equipment Survey <br />Site Plumber Date <br />Tank Field <br />Observation <br />Wells <br />Price / ID Sign <br />Nozzles <br />Basement <br />Breakaways <br />Other <br />Quantity of <br />Nozzles <br />Breakaways <br />Is there a basement, <br />Dispenser # <br />Manufacturer <br />I Model Number <br />Manufacturer <br />I Model Number <br />DispenserAt <br />Manufacturer <br />I Model Number <br />Manufacturer <br />I Model Number <br />Dispenser No. 6 Fuel <br />P <br />Grade (if applicable) <br />or a single hose gas <br />list disp. # only <br />I regular, 2 midgrade <br />3, 4, 5 diesel, etc) <br />CA = Callow <br />EW = Emco Wheaton <br />HA = Harco <br />HK =Husk y <br />HL = Healy <br />VST = VVa� Syst <br />Write Model Number <br />in space provided <br />CA = Callow <br />EW = Emeo Wt <br />HE = HealyWrite <br />HU = Husky <br />OPW <br />Mode] Numb <br />in space provided <br />CA = Callow <br />Dispenser No. & Fuel EW = F�nco Wheaton <br />Grade (if applicable) <br />HA = Nano <br />(for a single hose gas <br />fist lisp. # only HK =Husky <br />1 regular, 2 midgrade HL = Hasty <br />3.4. 5 diesel, etc) VST Vapor=0� <br />Syst. <br />Write Model Numbe <br />in space provided <br />CA - Callow <br />EW =Emco Wt <br />HE = Healy <br />HU - Husky <br />OPW <br />Write Model Numb. <br />in space provided <br />V 5 <br />�a- ri� <br />e e <br />VST <br />F-VfL -S /= <br />Yes or No <br />Yes or No <br />YesorNo <br />�I <br />yYes <br />1 7 <br />�c �' <br />t% 0 <br />g`++ C✓ <br />® O <br />P <br />2b" <br />S <br />VIRN <br />E N TA -LF E <br />EP <br />RTMEN <br />Tank Field <br />Observation <br />Wells <br />Price / ID Sign <br />Canopy <br />Basement <br />Billboard <br />Other <br />Quantity of <br />Does the site has an <br />Is the canopy. <br />Is there a basement, <br />Observation Wags <br />10 sign over 30 feet <br />S = Arched Solar Panel <br />Attached or Free <br />crawl space, or <br />Is there a Billboard on the property) <br />Does the site sell E-65, tib to 620 or <br />high <br />F = Flat Non -Solar Deck <br />Standing? <br />underground bays? <br />have an EJeWric Car Charging Station? <br />Write in number <br />NA = No Canopy <br />Yes or No <br />LINK = Unknown <br />orNo <br />No <br />Yes or No <br />Yes or No <br />YesorNo <br />yYes <br />1 7 <br />�c �' <br />t% 0 <br />g`++ C✓ <br />® O <br />P <br />Emergency Stop Sw tch <br />What is the location of the e -stop? <br />IN = Inside Sugd"i gNosk <br />BUILD = Outside on the Building <br />DISP = Outside in the Fueling (dispenser) Area <br />TANK = Outside near the Tank FRI <br />(Circle ALL that apply) <br />DISP TANK <br />il—dotner=te Page 4 of 4 <br />