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REPLACEMENT PARTS: PART '# <br />. M <br />} <br />ADDITIONAL CHARGES: (pumpovers overtime, etc.) <br />*Data obtained from lStation 01 <br />Charts 0 Other <br />PRODUCT/TANK NO. <br />,✓' fY <br />i y" <br />tea§ ,°'. <br />".+ �p' <br />{ <br />LEVEL <br />Fill Gauge <br />Fill Gauge <br />Fill <br />Gauge Fill Gauge Fill Gauge <br />w <br />C Lo J <br />S <br />GALLONS <br />' <br />TANK AND LOCATION DATA <br />uw <br />M ® <br />Page 2 <br />' <br />TOP OF RISER <br /><' <br />GRADE <br />, <br />/315— <br />DATE <br />CUSTOMER:—I,..{. <br />CITY: <br />CAPACITY, GALLONS <br />f :. <br />a 'e <br />I.D. # x. " ._ �� <br />STATE: <br />4 <br />MATERIAL <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />TYPE OF COVER <br />AFTt TEST — , .4� <br />2 fr. <br />AGE OF TANK,.`"' <br />SCHEMATIC:, <br />t <br />SIPHON <br />{ <br />.� <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />4 <br />w <br />VENT CONFIGURATION <br />V <br />a > <br />P -V VENT VALVE TYPE <br />A.t <br />44, <br />41 <br />e <br />a <br />Z <br />33y'y <br />REPLACEMENT PARTS: PART '# <br />. M <br />} <br />ADDITIONAL CHARGES: (pumpovers overtime, etc.) <br />*Data obtained from lStation 01 <br />Charts 0 Other <br />PRODUCT/TANK NO. <br />,✓' fY <br />i y" <br />tea§ ,°'. <br />".+ �p' <br />W <br />ac <br />LEVEL <br />Fill Gauge <br />Fill Gauge <br />Fill <br />Gauge Fill Gauge Fill Gauge <br />w <br />C Lo J <br />S <br />GALLONS <br />uw <br />M ® <br />WATER <br />' <br />TOP OF RISER <br /><' <br />GRADE <br />, <br />/315— <br />DROP TUBE <br />DROP <br />CAPACITY, GALLONS <br />f :. <br />a 'e <br />e) u <br />DIAMETER, INCHES' <br />MATERIAL <br />w,r,.... <br />PUMP TYPE <br />TYPE OF COVER <br />AGE OF TANK,.`"' <br />, <br />SIPHON <br />{ <br />.� <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />w <br />VENT CONFIGURATION <br />V <br />a > <br />P -V VENT VALVE TYPE <br />REPLACEMENT PARTS: PART '# <br />. M <br />} <br />ADDITIONAL CHARGES: (pumpovers overtime, etc.) <br />*Data obtained from lStation 01 <br />Charts 0 Other <br />