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f e <br />g v4 <br />p e <br />AncillaryIWO <br />Equipment: Piping / Piping J <br />w _. . <br />Good <br />Connections leaks, corrosion, su ports <br />Other <br />® <br />"'' <br />,,. <br />.."'^......-.x.._.. <br />�u.�...a <br />SOME *lei • f iL' :. .�' <br />I <br />. :.Dral6 <br />nti Siphon Valve installed? <br />No <br />s at a higher elevation than the supply piping or <br />dispensing unit. <br />Anti Siphon Valve: Manufacturer <br />A <br />Anti Siphon Valve Model <br />N/A <br />Isthe Anti Siphon' Valve,Operational And <br />' --- <br />V': - .. -. <br />N/A <br />Fire Valve Installed? <br />es <br /># -, lyor <br />I Float <br />I ulur m ial <br />Morrison Brothers <br />Fire Valve Model Number <br />343 <br />__-...--------- <br />Manually Activated? <br />Yes <br />— _--- - <br />i <br />f e <br />g v4 <br />AncillaryIWO <br />Equipment: Piping / Piping J <br />w _. . <br />Good <br />Connections leaks, corrosion, su ports <br />Other <br />® <br />"'' <br />,,. <br />.."'^......-.x.._.. <br />�u.�...a <br />Install anti -siphon valves where the liquid level in a tank <br />nti Siphon Valve installed? <br />No <br />s at a higher elevation than the supply piping or <br />dispensing unit. <br />Anti Siphon Valve: Manufacturer <br />A <br />Anti Siphon Valve Model <br />N/A <br />Isthe Anti Siphon' Valve,Operational And <br />' --- <br />Properly Sized? <br />Sized? <br />— <br />N/A <br />Fire Valve Installed? <br />es <br />Fire Valve Manufacturer <br />Morrison Brothers <br />Fire Valve Model Number <br />343 <br />__-...--------- <br />Is the' Fire Valve Operational? <br />Yes <br />— _--- - <br />Other <br />... <br />a,� A "'i',si Nw <br />77777 <br />Normal Vent Manufacturer <br />1UnInown <br />Normal Vent Size <br />211 <br />x2 <br />Normal Vent Model <br />Unknown <br />Normal Vent Condition <br />Good <br />Normal Vent Properly Sized? <br />Yes <br />-__..._.----------- <br />LI <br />