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by CA Supplemental Information <br /> Site Number -T jgcl DateME <br /> g`'_ XVa- 8-)Numbar. 0 <br /> ? mate' s1 of _ <br /> M ht aflL. n. cMcn <br /> DWF=DW Fiberglass DWF=DW Fiberglass <br /> SWF=SW Fiberglass SWF=SW Fiberglass <br /> Order per VR=Veeder Root Write in the model number SWS=SW Steel SWS=SW Steel <br /> tank monitor Other.please write in DWFLX=DW Flexible DWFLX=DW Flexible <br /> SWFLX=SW Flexible SWFLX=SW Flexible <br /> UNK=Unknown UNK=Unknown <br /> Bqj C) <br /> 2 <br /> 4 <br /> 5 <br /> m :S ,� gamp IfStPht� ntf f fn _ �Vapi <br /> II�TE 3 At33enspr 6~ I >> RS rA Sena 1 .�• _Alr dn�o— �I�17ER nsoi <br /> Order per Write Manufacturer&Model Number in the space provided <br /> tank monitor UNK=Present,Can not determine <br /> NA=No Sensor <br /> 2 <br /> JUL 13 2018 <br /> 3 <br /> ENVIRONMENTAL <br /> 4 H- TH DEPARTMENT <br /> 57 <br /> �. >fILILDI3P - �s: s >ss�o v <br /> ra U _ <br /> AEFVWD <br /> Write Manufacturer&Model Number in space <br /> provided Write Manufacturer&Model Number in space provided <br /> Dispenser# UNK=Present,can not determine Dispenser# UNK=Present,can not determine <br /> NA=No Sensor NA=No Sensor <br /> 1/2 9/10 <br /> 3/4 11/12 <br /> 5/6 13/14 <br /> 7/8 15/16 <br /> issued 03/22/2018 Additional Page <br />