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CUSTOMER: <br />1. D. #f <br />TANK AND LOCATION DATA <br />CITY: <br />STATE: <br />DATE: <br />Page 2 <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST — <br />AFTER TEST — <br />SCHEMATIC: <br />PRODUCT/TANK NO. <br />Lu <br />M w <br />LEVEL <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />W -J <br />GALLONS <br />En o <br />WATER <br />TOP OF RISER <br />GRADE <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />PUMP TYPE <br />TYPE OF COVER <br />AGE OF TANK <br />SIPHON <br />TANK OPENINGS <br />EXTRACTORS <br />TYPE <br />Cr VENT <br />CONFIGURATION <br />o <br />Q o <br />P -V VENT VALVE TYPE <br />Lu <br />REPLACEMENT PARTS: PART #f <br />ADDITIONAL CHARGES: (oumpovers, overtime, etc.) <br />DESCRIPTION <br />"Data obtained from ❑ Station ❑ LL Charts 11 Other <br />QUANTITY PRICE <br />