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2018 Equipment Survey <br /> Address <br /> °aO ¢°9 Site # zyoCZ ` tZ S �'� � � e `� �, tr C� <br /> 40 46 <br /> ` 3 J <br /> Date - t C� Contractor name ! Tech name '4 � <br /> Petroleum Storage Tanks <br /> Tank R Product Capacity UST or AST AST Impact Barrier Spih Tank Striker Plats Auallary Menilolded I Siphoned <br /> R = Regular Unleaded Nominal Gallons What type of impact bather is Split I <br /> M a Mid Grade Nearest (000) present? (Ware blank for UST•I TSP - Tank Sinker Plate <br /> Order <br /> per lank P a Premium UUnderground a Under round Tank B a Donald% F a Fencing Compartment OSP - DroDTubo {tags AUxi ary Tank Mtatillu ded ; Siphoned Tank <br /> monitor D a Diesel (naanat tateh tar AST a Aboveground Tank l a IeSank side Service Says N a None <br /> W e Waste Od finks Mas than L 2 Lo"tod away fromiraffx UNK n Jnknown Yes or No (it so, to what other tank) <br /> H = Healing Ori seo Virginia) N a AST present, no hornet Yes or No <br /> j/l es No <br /> t I 0 <br /> 2 7`— I �1 iJ SLS es t 3P No <br /> �7 �, I e Na <br /> 4 Yes o <br /> a too �. � 5� inv ► � u <br /> 5 <br /> Yes No <br /> fi <br /> Yes No <br /> Petroleum Storage Tanks Vent Cape <br /> Tank d Material of Construction Carroslon Protection Lined Tank IntaratlUal Space OR IOWA I CA Manufacturer Model N <br /> DWF a Doublowali Fiberglass Internally Lined Tank <br /> SWF a Singlewall Fiberglass (rrpikaaa it u.nlanks B - Bare Does the UST Fit R.ser OPW <br /> Order DWS a Doublewali Steel IC a Imptessed Current "h. reareu.s a Clad 0 a Dry have a tethered gr undin H a HUSKY <br /> uaka rsovts he morxso g Y Wide Model Number <br /> per tank SWS x Smglewan SIMM SAC a Sac Anode Pat VC n Vacuum cab1e7 M a Moraaon Bros in space provided <br /> OWSP a Ooublewail Stop NAI x Non-mefaax N = None NA a No Vent, mandoldetl <br /> SWSP c Singlewall STIP Yes or No UNK a Unknown Yes or No NO = Na Vent Present <br /> CLD a Sloe] wlFbrgls Coating UNK a Unknown <br /> 4C2 f <br /> e j <br /> s <br /> 6 <br /> Product Piping Vapor Recovery System <br /> Maeriatof Carl Stan Supe 11 type <br /> Tank 0 <br /> ConstructionSiphon Bar? PraueBort Sugs I Type (nozzle ) Pressure Mgml System EVR System <br /> I <br /> DWF x OW Fiberglass Does prod.ut leave the tank Inru BL ' Balance <br /> SV/F a SW Fiberglass (he use of a Siphon Bar d are the IC a Impressed 2PT a Two Point VA a Vacuum Assist CAS - Healy Clean Air EeW = EB W VR <br /> Order Separator <br /> er tank StVS a SW Steel connections to each lank visible . Cunant CP a Coaxial Poppeted V5T a Vapor systems PT a PHIL TTE <br /> D DWFLk a DW Flexible SV r Siphon M visible SAC a Sac Arcade CN a Coaxial Non- Tech VR a VR Carbon Can sler GPW . OPl1' VR <br /> moms°` SWFLX a SW Flexible SNV a Siphon but not visible Hirt a Non.melatic Poppeled HEVR a Healy wi EVR VST VST Vapor Processor NA x No EVR <br /> UNK a Unknown NA a Not dispensed by siphon NA a Na Stage II NA = OutS�tle of Cakloma <br /> y"s �` , ` , tk Vapor Pat boos die stle nave (t v:7pot pe. ;rkrop out (an. )'> Yrs or No FIT, <br /> ) r—' �` �J 1 "N UST Monitoring System <br /> 3 , � t V � � Manufacturer Model Number Software Ver, Tank Probe Location <br /> VR - Veeder Root Write Mode`- Ww-,oer Write Software f + Fd Sump NA a None space pravved <br /> Version idspace TOsne Turbine <br /> In <br /> 6 <br /> issued 1210412017 Page 1 Of 4 <br />