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0• d e I Fars® s e it Vto <br /> 1 Site Number Date <br /> Dispenser# Manufeeturer Model Number No.of Nozzles No.of . ' Blend Type Dispenser Type UDC Type TV System, <br /> Dispenser No. TV Systems <br /> 1/2,3,4,etc. G=GlIbarco Write number of Write number of M-Mechanical pp®p Ughted Valences TV System <br /> d m <br /> Write Model Number in P e Pressure eep on dispensers?T=Tokhelm nozzles per tueitng meters perfueling E-Electronic S=Suction SN=Shallow dispensers? <br /> Write to space W=Wayne space provided position position NA=None NA=No UDC <br /> below Yes or No Yes or Pio <br /> P <br /> 3/4 w I 2 E <br /> rf� 7302. 1 Z— <br /> ? W <br /> P,r2 2 N o <br /> ----------T-1 <br /> Varves Vaporkn waValives Vac <br /> Dill # Men rechrrer Model Number rer Model Number M &Mo9pprovIM.'ad <br /> Dispenser No. <br /> 1/2,3,4,etc. EBW yy ®Model Number N EBW Write Model Number in yy=Wayne Write Manufacturer&Model NumbeWrite in space UN UnivOPWersal space provided UN=Universal space provided NAB-Balance UNK=Pre�mv NA-Not present NAN=No stage 2 or diesel sent,o S nsd <br /> disp NA=No Senses <br /> �lY a pr to 6RAkP ® .O bods) 71714 o-rLcg <br /> SG G !'w771 <br /> issued 05/11/2017 Page 3 off-4 <br />