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2018 Equipment Survey <br /> V44000 <br /> 6 AW <br /> 4600 <br /> a s Site Number 6Zy Date <br /> °oob4 <br /> Noules Breakaways Hose Retractor <br /> Dispenser 0 Manufactuter Model Number Manufacturer Model Number Manufacturer Conditlon <br /> CA = Callow CA = Callow <br /> Grade (if pp b Fuel EW = Emco Wheaton EW = Emco Wheaton Are the m <br /> Grade (if applicable) y stalled t mounted 8 j <br /> for a single hose HA = Haico EBW functioning pip party <br /> ( is gas HE = Healy Write Model Number in space provided HE c Healy Write Model Number m Rtease wale �t to <br /> list d2 miisp# only HK = Husky HK = Husky space provided - Yes or No <br /> S regular 2 diesel <br /> elide 3 . OPW Opyy NA = None <br /> s 5 masol etc) VST c Vapor Syst VST = Vapor Syst <br /> �1 } v <br /> a3 14 T Ev11 513V <br /> 4 i Q LSak Ck� � � s <br /> 1-. <br /> PT, <br /> Emergency Stop Switch Canopy Billboard Low Voltage Other <br /> What is the location of the a-stopti <br /> S = solar Panels A = Attached Is there a 9dlboard on Does the site have Low Does the site sell E�85 Bfi to <br /> IN = Inside Building/Kiosk How many B20 or have an Electric Car <br /> BUILD = Outside on the Budding canopies are F = Nan.Splar F = Free standing the propeny� Nottage Emergency Shu4c(t <br /> DISP for Data ; CRIND <br /> TANK = rde near the Tank Fills NA <br /> Station' <br /> = Outside to the Dispenser Area onsi:el NA = No Canopy NA = No Canopy Yes or No Intcrcom;7 <br /> TA <br /> Yes or No <br /> (Circle L that apply] t <br /> LN) BUILD DISP TANKT' \7 <br /> issued 12/04/2017 ` f�`'� Page 4 of 4 <br />