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<br />Ancillary. Equipment: Piping `,/ Piping Good
<br />Connections leaks, corrosion, Sul)nOris}
<br />Other
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<br />Anti Siphon Valve installed?
<br />Mfulas
<br />is at a higher elevation than the supply piping or
<br />dispensing unit.
<br />Anti Siphon Valve Manufacturer
<br />MERMaj�xwn
<br />` •
<br />Anti Si hon.Valve Model
<br />N/A
<br />Is the Anti Siphon Valve Cper fir>, <!I Ai 0
<br />Bloom* I' i i VI
<br />N/A
<br />ITAMW :f
<br />Properly Sized?
<br />Fire Valveinstalled?
<br />es
<br />/ e s
<br />Ancillary. Equipment: Piping `,/ Piping Good
<br />Connections leaks, corrosion, Sul)nOris}
<br />Other
<br />s "
<br />_
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<br />��ik''' .,�;� .." �. s4"",���;.`
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<br />leve tank
<br />Install anti -siphon valves where the liquid I in a ank
<br />Anti Siphon Valve installed?
<br />No
<br />is at a higher elevation than the supply piping or
<br />dispensing unit.
<br />Anti Siphon Valve Manufacturer
<br />NSA
<br />Anti Si hon.Valve Model
<br />N/A
<br />Is the Anti Siphon Valve Cper fir>, <!I Ai 0
<br />N/A
<br />Properly Sized?
<br />Fire Valveinstalled?
<br />es
<br />-- - _. _._
<br />Fire Valve' Manufacturer
<br />Morrison Brothers
<br />Fire ValveModel Number
<br />343
<br />Is the Fire Valve Operational
<br />es
<br />Other.
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<br />Normal Vent Manufacturer
<br />Unknown
<br />Normal Vent Size
<br />Normal Vent Model —
<br />Unknown
<br />Normal Vent Condition —
<br />Good
<br />Normal Vent Property Size+i _
<br />es
<br />4
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