• Break Away : Yes No Location on the hose:________
• Vapor Recovery: Yes No
• NOZZLE/HOSE THREAD: INCH (NPT) MILLIMETER (DSP)
• HOSE THREAD : Male Female
• MANUFACTURER: ___________________
• MODEL: ___________________________
• DIAMETER OF NOZZLE SPOUT: ________
•
F. NOZZLE EQUIPMENT-2
• HOSE SIZE : 3/4” 1” other________
• Hose Length ___________________
• Break Away : Yes No Location on the hose:________
• Vapor Recovery: Yes No
• NOZZLE/HOSE THREAD: INCH (NPT) MILLIMETER (DSP)
• HOSE THREAD : Male Female
• MANUFACTURER: ___________________
• MODEL: ___________________________
• DIAMETER OF NOZZLE SPOUT: ________
G. CONDUIT
Exists _________ Can be used ____________ Sealed ______________
Need new conduit _____________ Type of surface ________________
Tanks
Is tank gage reading required Yes No
How many tanks and what type ?_______________________________________
Islander PLUS Manual
118
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