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Site Survey - Brazil English
1.
Site Name:
2.
Site Location:
*
3.
Donaldson Distributor
(Required.)
*
4.
Email Address:
(Required.)
*
5.
Phone Number:
(Required.)
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)
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)
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)
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.
Choose File
No file chosen
10.
What type of outlet do your tanks have?
Single dispense nozzle
Dual dispense nozzle
Multiple dispense nozzle
11.
Please upload a picture of your outlet configuration.
Choose File
No file chosen
12.
If possible, please provide photo of outlet pump plate (make & model).
Choose File
No file chosen
13.
Roughly how many engines are you running (please identify per model year ranges below) ?
# 2013 and newer
# 2007-2013
# older than 2007
