2023 Cordova Home Heating Tank Survey Please respond to the following questions by November 30, 2023 to be entered to win 50 gallons of home heating fuel. Contact information must be included to be eligible to win. Contact Ivy at the Native Village of Eyak at 907-424-7738 with any questions. Question Title * 1. Please complete an inspection of your home fuel tank using the checklist provided with the fuel bill insert. Please select the numbers (below) of the questions you answered "no" too. 1: Fill pipe is not covered and/or there are stains around fill pipe. 2: The fuel system is not protected from overhead damage. 3: My fuel gauge and/or overfill alarm does not work. 4: The vent pipe is not clear of debris and insects. 5: The tank is dented and/or rusted and it is not painted. 6: The tank legs or stand are not in good condition and/or they are not on a stable foundation. Or my fuel tank is on the ground. 7: The fuel lines are not protected. 8: The fuel filter is not protected from damage and/or has excess water in it. 9; My tank has stains and/or wet spots. 10: My fuel tank is more than 15 years old. Other Observations (please specify) Question Title * 2. What are the challenges you face to maintaining your home fuel tank? Question Title * 3. Will you pledge to inspect your fuel tank four times over the course of 2024 to ensure the tank, stand and lines remain protected and in stable condition? Yes No Why or Why not? Question Title * 4. Contact information must be included to be eligible to win the 50 gallon fuel prize. Name Company (If applicable) Mailing Address Street Address in Cordova Town (mailing address) State (mailing address) ZIP/Postal Code (mailing address) Email Address Phone Number Done