Initial Sample Form

CFN Work Order #
44233
Account : 7-Eleven 40814
6240 S. Hwy. 77
Riviera, TX 78379
Initial Sample Picture
Initial Vr Printout
Sample 1
Tank Size 20K
Fuel Grade : RUL
Gallons
7188
Ethanol % 10%
L Rating Monitor. L - 4
Contamination Particulate
Sample 2
Tank Size 8K
Fuel Grade : PUL
Gallons
3537
Ethanol % 10%
L Rating Monitor. L - 4
Contamination Particulate
Sample 3
Tank Size 8K
Fuel Grade : ADSL (Auto DSL)
Gallons
3127
L Rating Monitor. L - 1
Sample 4
Tank Size 30K
Fuel Grade : TDSL (Truck DSL)
Gallons
11085
L Rating Monitor. L - 6
Contamination Sludge
Sample 15
CFN Sales Rep : Barry