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r <br />TANK AND LOCATION DATA Page 2 <br />DATE: x <br />... p> <br />CUSTOMER: CITY: <br />1. D. # STATE: <br />WEATHER TIME TEMPERATURE COMMENTS <br />BEFORE TEST —Y°' <br />AFTER TEST — <br />SCHEMATIC: <br />L. . .... . ...... . <br />del <br />00 <br />IU <br />REPLACEMENT PARTS: PART # DESCRIPTION <br />632 <br />57— 010k) <br />ADDITIONAL CHARGES:�,.., . <br />(pumRovers, overtime, etc.) agym.. <br />"Data obtained from EI -Station 0 LL Charts ❑ Other <br />QUANTITY PRICE <br />11c <br />c <br />PRODUCT/TANK NO.`+�,= <br />w <br />= <br />LEVEL <br />Fi <br />Gauge <br />Gauge <br />Il�Gauge Fill Gauge Fill Gauge <br />3 <br />w <br />O > <br />GALLONS <br />wz <br />CO w <br />WATER <br />TOP OF RISER <br />GRADE <br />` <br />DROP TUBE <br />A, a° <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />PUMP TYPE <br />ez <br />TYPE OF COVER <br />'� <br />~ <br />AGE OF TANK <br />I <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />t <br />cc w <br />VENT CONFIGURATION <br />O <br />Q p <br />P -V VENT VALVE TYPE <br />b <br />Vo <br />>w <br />REPLACEMENT PARTS: PART # DESCRIPTION <br />632 <br />57— 010k) <br />ADDITIONAL CHARGES:�,.., . <br />(pumRovers, overtime, etc.) agym.. <br />"Data obtained from EI -Station 0 LL Charts ❑ Other <br />QUANTITY PRICE <br />11c <br />c <br />