CONTACT  INFORMATION

* NAME:

TITLE:

* COMPANY:

* ADDRESS1:

ADDRESS2:

* CITY:

* STATE:

* ZIP:

* EMAIL:

* PHONE:

FAX:

* Fields required to be completed in  order to process request.

       HOW DID YOU FIND US

AOL Search  Thomas Regional / Register  Alta Vista Search  Equipment House  Snap Search  Direct Mail Ad  Yahoo Search  Magazine Ad  MSN Search  Modern Sales Staff  Infoseek Search  Previous Customer Other Search Engine: Modern Customer:

       TANK INFORMATION

Job Site Location:

Type of Tank:

Select one Horizontal SW Horizontal DW Vertical SW Vertical DW Fireguard Cylindrical Fireguard Rectangular Flameshield Cylindrical Flameshield Rectangular Hydro-Pneumatic Diked A/G tank with Rainshield Diked A/G tank without Rainshield Dished bottom tank Coned bottom tank Special Application

Special Construction:

Tank Capacity & Qty:

Operating Temperature:

 ° F

Operating Pressure:

psi

For Storage of:

Gasoline Diesel Av Gas Jet Fuel Potable Water Non-Potable Water Waste Oil Antifreeze New Oil Other

Other Storage:

       TANK SUPPORT

         None Required

 Saddles Attached

 Saddles Shipped Loose

 Beam Skids

 Boxed Skids

 Other Type:

       ACCESSORIES

 24" Access Manway

 Internal Ladder

 Anchor Chairs

 Platform with Handrails

 Anti Roll Brackets

 Rainshields (Diked Tanks  Only)

 Emergency Vent(s)

 Skid Mounted Platform

 External Ladder

 Spill Prevention Container

 Ground Clips

       TANK DISPENSING SYSTEMS

 NO Dispensing System

 AST-10 (10 gal / min)

 AST-20 (20 gal / min)

 AST-40 (40 gal / min)

Special Requirements:

INCLUDED EQUIPMENT:

Pump, Dispenser, Normal Vents,
Emergency Vents, & misc  piping.

       EXTERIOR PAINT

Blast Clean:

None SP-5 SP-6 SP-10

Primer Coat:

None Red Oxide Epoxy Primer Other

Other Primer:

Top Coat:

None Alkyd Epoxy Vinyl Other

Other Top Coat:

       INTERIOR LINING

 NONE

 Jet Fuel

 Potable Water

 Non-Portable Water

 Other: 

       ADDITIONAL INFORMATION