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-- - _�...�.....®..® wwe — <br /> 40 <br /> Site Number Date <br /> FWt <br /> SpiUBuakets Vsporsptfl bili/PradurrtSpill 8ucketi REMOTEVapot3(N6 <br /> To,*0 Bucket ✓ifingla, Msnufstxurer ! euokat e sbwel Buckd <br /> $ize Double Size' Douce Manufacturer size`. Double size Double <br /> Msrerfecturer <br /> Estimated EBW,Fairfield,OPW, EBW,Farfie]d,OPW, <br /> Is the bucket PhUlte,Pomeco, Is the bucket Estimated Is the bucket Phirrde,Pomeoo,F&srft Is the bucket <br /> EBW,Fernald. Bucket Singlemll or Fberllte,Universe] Estimated Sing]ewaii or EBW,Fairfield, SPIN Bucket S' lewall or Universal <br /> Order Flow te,OPW, capacity Doublawall Spui Doublewa8 Fberifte,OPW, capacity Do�ubleevali Estimated SlingleDouball o <br /> per tank PhtRNe, (Gallons) C=No bucket,coax Bucket Phill7te, (Gallons) C=No bucket coax SPIN Bucket <br /> monitor Pomeco, SWorDW system Capacity SWorDW Pameco, SWorDW system SWorDW <br /> Universe) NA=No NA=No D-No bucket,diesel (Gallons) NA=No Universal NA=No NA=No D=No bucket desel (�)°-) NA=No <br /> Bucket Bucket V-Vapor manifold Bucket Bucket Bucket V=Vapor manifold Bucket <br /> R=No buckK riser only R=No bucket riser only <br /> 0 - <br /> 5- 1 <br /> 2 ,� EvvJ <br /> 4 <br /> 5 <br /> L6 <br /> �.. 4 . . <br /> Turbine Pun" Une Loa <br /> rVotecew <br /> Tank B mumbdum Model Number Speed Model <br /> Number Type of teak Dotsctor Type <br /> It FE Perm <br /> RJ=Red CS Constant S FE=FE Petro Floats <br /> Order Jacket peed RJ=Red Jacket 8F=Ball <br /> Write Model Number In = Drop Tube Flapper Valve <br /> space provided <br /> per TK=Tokhelm VS=Variable speed VP=Vow—(VMI) Write Made!Number MLO=Mechanical LD HLA=High Level ExW"Alarm <br /> monitor VR-Veeder Root NA=No Leak Detector NA=No OvWM Protection <br /> NA=No pump NA=No pump in tank NA=No pump in tank NA=No Leak Detector <br /> in tank NA=No Leak Detector (Circle ALL that apply) <br /> V g V 't fs-11- BF FV H NA <br /> 2 t=e- B FV HLA NA <br /> 3 V g vp- $� `T. PLC) FV NA <br /> 4 BF FV NLA NA <br /> 5 BF FV HLA NA <br /> 6 BF FV HLA NA <br /> Tank Sensors <br /> FIN Stimpo T" <br /> MiseOuter floneor <br /> Tank 0 8TP Sum FM Sump (tb not Include Probes) Type Type <br /> Spedry what I n sensor Is for <br /> Order Write Manufachaw&Mods]Number&Serlat Number in the space provided CS=Containment Sump CS=Containment Sump <br /> mmor�ror LINK=Present Can not determine SS=Ridged Soil Barrier SS-Ridged Sal Barrier <br /> NA=No Sensor N=None N=None <br /> 1 <br /> '79`l &G a 3 A '79ttwo <br /> 2 7'?q io_?° ?9N3Ser,�^-3�f �9y Q.yc C S �'S <br /> 3 9Y3Qia� <br /> S 'z 9 t/3 cr-'?`t 1'79Y&j?9gp-Uc9 cj C.S <br /> 4 <br /> 5 <br /> 6 <br /> issued 05/11/2017 Page <br />