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OVERFILL WORKSHEET <br /> Facility Name: INFORMATIONAL ONLY <br /> Facility Address: <br /> Facility Contact: <br /> OVERFILLS: <br /> Tank Charts Used: <br /> f <br /> i• TANK INFORMATION <br /> Tank Chart X Tank Manufacturer Industry Standard Chart <br /> Tank#1 Tank#2 Tank#3 Tank#4 Tank#5 Tank#6 <br /> 7 ' <br /> Tank Capacity: '61 S'2 61!5- <br /> � I c i 5. t <br /> Tank Material: a <br /> Tank Manufacturer: <br /> Product Stored: S�� FA <br /> Diameter: 76 t^ <br /> Inches to the bottom <br /> i <br /> of Tank: <br /> Volume of Overfill <br /> I <br /> Am <br /> � (43 y - <br /> Test Result; Pass Pass <br /> Pass/:Faii Pass Fail Pass/Fail Pass/Fail <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />