Site Survey - Brazil English

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* 1. Site Name:

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* 2. Site Location:

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* 3. Donaldson Distributor

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* 4. Email Address:

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* 5. Phone Number:

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* 6. How much fuel does your site use monthly?

Less than 28,400 L / 7,500 gal (28,400 L / 7,500 gal is one truck load)

28,400 to 56,800 L / 7,500 to 15,000 gal

56,800 to 113,500 L /15,000 to 30,000 gal

More than 113,500 L / 30,000 gal

Other amount (please specify)

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* 7. What is your fuel storage capacity?

Less than 19,000 L / 5,000 gal

19,000 to 56,800 L / 5,000 to 15,000 gal

56,800 to 190,000 L / 15,000 to 50,000 gal

No fuel storage capacity

Other capacity (please specify)

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* 8. What is your tank location & orientation?

Above ground, horizontal

Above ground, vertical

Below ground

Above ground tank farm (multiples)

Below ground tanks (multiples)

Mobile tank

Other (please specify)

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* 9. Please provide a picture of your fuel delivery set up.

If possible try to get a photo of the tank that shows the inlet and vent pipe.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. What type of outlet do your tanks have?

Single dispense nozzle

Dual dispense nozzle

Multiple dispense nozzle

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* 11. Please upload a picture of your outlet configuration.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 12. If possible, please provide photo of outlet pump plate (make & model).

DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only.

Choose File

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* 13. Roughly how many engines are you running (please identify per model year ranges below) ?

# 2013 and newer

# 2007-2013

# older than 2007