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TANK AND LOCATION DATA <br />CUSTOMER: CITY: <br />1. D. #/ ' r3 C/ 2 t j ✓ til STATE: <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) ? CiA'IS �� t <br />l <br />*Data obtained from ❑ Station 0 LL Charts ❑ Other <br />WEATHER <br />TIME <br />TEMPERATURE <br />COMMENTS-`.: <br />BEFORE TEST — <br />AFTER TEST — <br />SCHEMATIC: <br />"OD <br />r <br />W/ <br />000 <br />PRODUCT/TANK NO. <br />L <br />illi - <br />E(_ <br />LU <br />w <br />LEVEL <br />Fill <br />Ga ---1 <br />ill <br />c1l t <br />Ga <br />Fill <br />Gau <br />Fill <br />Gauge <br />Fill <br />Gauge <br />Cr- w <br />C <br />LLO J <br />Lu <br />GALLONS <br />" c9 <br />� <br />Iv? 44� <br />00 u'WATER <br />o <br />(j <br />Q <br />TOP OF RISER <br />GRADE(, <br />S y <br />J 6 <br />DROP TUBE <br />CAPACITY, GALLONS <br />DIAMETER, INCHES <br />MATERIAL <br />�'L <br />5 7--'t L <br />STel- <br />PUMP TYPE <br />, <br />x jr- <br />TYPE <br />TYPE OF COVER <br />>G t- % <br />AGE OF TANK <br />SIPHON <br />' �) <br />TANK OPENINGS <br />EXTRACTORS <br />° "Ve <br />TYPE <br />i <br />w <br />VENT CONFIGURATION <br />O <br />Q p <br />P V VENT VALVE TYPEa�ri <br />- <br />r <br />w <br />REPLACEMENT PARTS: PART # DESCRIPTION QUANTITY PRICE <br />ADDITIONAL CHARGES: (pumpovers, overtime, etc.) ? CiA'IS �� t <br />l <br />*Data obtained from ❑ Station 0 LL Charts ❑ Other <br />