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CUSTOMER <br />1. D. # <br />0 <br />TANK AND LOCATION DATA <br />DATE: <br />CITY: <br />STATE: <br />Page 2 <br />REPLACEMENT PARTS: PART # <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />*Data obtained from 0 Station 0 LL Charts 0 Other <br />QUANTITY PRICE <br />WEATHER <br />TIME TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST <br />SCHEMATIC: <br />e,Al iz, <br />MIRK <br />J' <br />V 7- <br />A.V/ <br />MIA <br />PRODUCT/TANK NO. <br />Fill Gauge Fill GaugeFill Gauge/ <br />Fill Gauge Fill Gauge <br />LU <br />CC <br />LEVEL <br />W <br />0 > <br />u- n <br />GALLONS <br />c 1", <br />03 uJ <br />WATER <br />TOP OF RISER <br />//,0 <br />GRADE <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />S TLL- 7 c t 4, <br />PUMP TYPE <br />73 <br />TYPE OF COVER <br />AGE OF TANK <br />SIPHON <br />0 <br />TANK OPENINGS <br />EXTRACTORS <br />AJ--Ar- <br />TYPE <br />cc <br />VENT CONFIGURATION <br />a> <br />0 <br />L) <br />P -V VENT VALVE TYPE <br />> LU <br />0c <br />REPLACEMENT PARTS: PART # <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />*Data obtained from 0 Station 0 LL Charts 0 Other <br />QUANTITY PRICE <br />