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CUSTOMER: <br />1. D. #{ <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 />% <br />w e= <br />Ir w <br />LEVEL <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />LO ? <br />W J <br />GALLONS <br />CO 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 />Iw <br />VENT CONFIGURATION <br />O <br />CL Q 0 <br />P -V VENT VALVE TYPE <br />w <br />X <br />REPLACEMENT PARTS: PART #/ <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />DESCRIPTION <br />'Data obtained from ❑ Station ❑ LL Charts 0 Other <br />QUANTITY PRICE <br />