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TANK AND LOCATION DATA <br />CUSTOMER: <br />Page 2 <br />DATE: T�fr i <br />CITY: �l4•Lr4'%r� <br />STATE: -* <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />P <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />*Data obtained from ❑Station ❑ LL Charts 0 Other <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST —� <br />SCHEMATIC: <br />1 <br />O <br />-STC <br />/ <br />j� <br />fi <br />t� <br />f <br />�i <br />A <br />i <br />PRODUCT/TANK NO. <br />LU <br />w <br />LEVEL <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge Fill <br />Gauge <br />Ir <br />LO > <br />J <br />GALLONS <br />Lu <br />W <br />0° p <br />WATER <br />TOP OF RISER <br />GRADE <br />?� <br />a <br />DROP TUBE <br />�1' <br />44 Cr <br />xT <br />CAPACITY, GALLONSG`G? <br />nee' ) <br />DIAMETER, INCHES <br />17X <br />74; <br />MATERIAL <br />5T <br />PUMP TYPE,�. <br />)� k" -'' <br />" — r <br />- <br />TYPE OF COVER <br />AGE OF TANK <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />G <br />Gdo .1fX <br />W <br />VENT CONFIGURATION <br />DEC 141987 <br />O <br />5 <br />Q p <br />P -V VENT VALVE TYPE <br />�, R <br />>w <br />cc <br />PERMIT/SE IVICES <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />P <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />*Data obtained from ❑Station ❑ LL Charts 0 Other <br />