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    First Name:
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    Last Name:
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    Company:
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    Street Address
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    City:
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    State:
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    Zip:
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    Phone:
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    Fax:
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    E-Mail Address:
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    Job Number:
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    Quote Needed By
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    UL Listed
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    Yes
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    No
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    Type of Tank
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    Sub-Base
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    Cylindrical
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    Trailer Unit
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    Other
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    Single Wall
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    Double Wall
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    Secondary Containment
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    Close Top Dike
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    Tank Dimensions
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    Length
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    Width
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    Height
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    Genset Dimensions
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    Length
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    Width
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    Genset Weight*
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    Electrical Stub-Up*
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    None
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    Corner
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    Middle
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    End
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    End w/Removable End Plate
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    Length
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    Width
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    Step
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    Paint
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    Black (std)
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    Custom
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    Specify Color
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    Lifting Brackets
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    None
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    Corner
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    Side
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    Standard Gauge Packages
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    Drain / .5” NPT
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    Emergency Vent / Varies
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    Emergency Vent / Sec Con / Varies
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    Fuel Gauge Direct-Read / 1.5” NPT
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    Fuel Leak Switch / 1.5” NPT
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    Normal Vent / 2” NPT
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    Fuel Cap Lockable / 2” NPT
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    Extra Bung / 2” NPT
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    Optional Accessories
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    Extra Bung / 1.5” NPT
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    Extra Bung / 2” NPT
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    Electronic Fuel Gauge Sender
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    Fuel Cap Pre-Vent / 2” NPT
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    High Fuel Switch / Float Type / 1.5” NPT
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    Low Fuel Switch / Float Type / 1.5” NPT
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    High Fuel Sensor w/ Remote Panel / 1.5” NPT
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    Leak Detection w/ Remote Panel / 1.5” NPT
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    High Fuel & Caution Sensor w/ Remote Panel / 1.5” NPT
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    Overfill Prevention Valve / 2” NPT
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    Spill / Fill Box 5 Gal / 2” NPT
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    Remote Spill / Fill Box 5 Gal
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    Cam & Groove Coupling
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    Vertical Check Valve 2”
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    Check Valve .5”
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    Fuel System Kit / Supply & Return
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    Other
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    Special Codes
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    Chicago
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    Cincinnati
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    Florida Derm
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    Michigan
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    Nassau
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    New York City
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    Suffolk
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    Wisconsin
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    Ohio
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    Other
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    Comments / Special Instructions / Additional Options
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    Please Enter the Letters and Numbers Below.

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