Laserfiche WebLink
c� New Site Onboarding Equipment Survey <br /> Site Number �� l�C,U Address -.3q(l-� �/� �4��r- 'V- ) <br /> Date Cn L �� Contractor/Tech Name <br /> Petro,!"=Storaga Tanks <br /> :Tanki Product Type Capacity Manufacturer Install Data UST orAST AST Impact Baffler Splht:Tank Tank D7anwtar <br /> R=Regular <br /> What type of irmact banter is M=Mid Grade If gasoline,write iNominal GaWns present? <br /> n is this a split! <br /> Drdar P=Premium ethanol Nearest(OOD) (leave blank for U9Ts) p <br /> percentage compartmental Write in the tank <br /> per tank D=Diesel (ie EO,Et 0,EBS List the tank mamLracturer <br /> Write to the year the UST=Underground B=Forcing <br /> (nearest tenth for tank was vrsta0ed AST'=Aboveground F=Fencing tank diameter <br /> monitor W=Waste Oil tf diesel,note if R is (in inches) <br /> H=Heating Oil biodieset tanks less then I=inside Service Bays Yes or No <br /> Other(specify) SW gallons) L=Located away from traffic <br /> N=AST present,no barrier <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> E:NVIP.f NM,FNTAh <br /> .ii, E `!�!'',5'tiii 7` Pe>raleum ... . Tanks .r5T 4. '.r i:i&`t� ., ,`P;mt. '.�1�'d$wiid <br /> . i41ii '.; 1. �.=.,ate,'-?'�Ci ; <br /> ,,r� �M StSritft Ckw , ;fi`- <-Y �- r �s <br /> 7attk# r r ?IEatatfalofCem6i>dJon � CaroabnProtacflon Irttamal,TanktJntng frrtaretlt1a18peeei MISipltonedL+,h( Autdppy <br /> s�;= n. rrlfi�r... !> tuP; .suat:rmsirss .0 _ :• v,* =saw ata'` s <br /> F=Fiberglass If the tank Is steel, B=Brine <br /> Order S=Steel IC=Impressed Currant does it have eternal D=Dry Manifatded I Siphonod Tank is this an awnhary Does the tank <br /> pertank ST=STP SW=Single wail SAC=Sac Anode fining VC=Vacuum (slaw)tank? have manways? <br /> DW=Double wail Yes or No VL=Vaulled <br /> monitor C=Steel w/fiberglass coating NM Non-metallic Of so,to what other tank e) <br /> LINK=Unknown WA=Fiberglass N=None Yes or No Yes or No <br /> UNK= awn UNK=Unkrrnm <br /> YES N O \ <br /> YES <br /> ,wV}M YES NO <br /> 3 GJ N� � � <br /> YES NO <br /> 4 <br /> YES NO <br /> 5 <br /> YES NO <br /> 6 <br /> 324'2P_abolau"St-a"TenWIIa4t�:+u9�tii�1 • > I('3a 6P A S* 's PnoductPlWng <br /> s'% - "� X "` r 7,:r d <br /> Tank# R`Mpa6►HN �N�i&lirarPfeEe' YaOertelaf,Corf vIfattttfactufvp �; y Sfptionl3ar rt <br /> £ 9Df 'zz.. ka. f:MtX'� 75' sr':k <br /> Rigid: Red=Ameron LCX;OR <br /> Doss this tank Does the a spin fill TSP=Tank Striker Plate F=Fiberglass Ameron size over size Does prof aQ leave the tank Vie the NM=Non-metalfc <br /> Order have a ramote have a spy DSP=DropTube,Strike S=Steel Tan(Green=Smith use of o Siphon Barbera the IC-Impressed <br /> per tank fill? bucket? Plate(cage) FB=Flexible SW=Double <br /> wan connections to each tank visible? Current <br /> ""tor N=None SR=Semi Rigid DW=Douse wan Flax- Green=Environ sv=Siphon s vis able SAC-Sac Anode <br /> Yes or No Yes or No UNK-Unknown UNK=Unknown Blue=OPW SNV=Siphon but not visible UNK=Unknown <br /> NA=No remota WhitelYenowBlue TCI <br /> NA=Not dispensed by siphon <br /> = <br /> ' '-'�—' t Vj '�Ww �jN w <br /> 2 WN <br /> 3 -�-� v\) '' M <br /> 4 <br /> 5 <br /> 6 <br /> issued 12/2712017 Page 1 of 10 <br />