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1. <br />TANK AND LOCATION DATA <br />a <br />CUSTOMER: <br />I.D. #("-- — — <br />Page 2 <br />DATE: <br />CITY: _'"i»s�Gk' <br />STATE: <br />REPLACEMENT PARTS: PART #! <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from EI'Station 11 LL Charts ❑ Other <br />QUANTITY PRICE <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS <br />BEFORE TEST <br />AFTER TEST <br />SCHEMATIC: <br />i <br />47 <br />L <br />PRODUCT/TANK NO. <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Fill <br />Gauge <br />LU o}c <br />Ir <br />LEVEL <br />UJ <br />L J <br />GALLONS <br />UJ w <br />Co o <br />WATER <br />TOP OF RISER <br />GRADE <br />/Z-//` <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL` <br />- <br />PUMP TYPE <br />TYPE OF COVER <br />AGE OF TANK <br />1,1,4_1.Amr <br />�J <br />SIPHON <br />TANK OPENINGS <br />l <br />EXTRACTORS <br />TYPE <br />X <br />GC?- <br />/+ <br />cc w <br />VENT CONFIGURATION <br />w <br />f' <br />Q > <br />P -V VENT VALVE TYPE,-. <br />> <br />w <br />Cr <br />REPLACEMENT PARTS: PART #! <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) <br />"Data obtained from EI'Station 11 LL Charts ❑ Other <br />QUANTITY PRICE <br />