Information
-
Customer Name
-
Account Number
-
Mrn Number
-
Document No.
-
Sales District
-
Salesperson
- Hugo Adendorff
- Sherwyn Fernandez
- lucian Joseph
- Peter Boucher
- Paolo Belotti
- Robert Van Dijki
-
Cost Centre
-
Conducted on
-
Location
Signatures
-
Count Conducted By:
-
Customer accepted By:
-
Sales Manager Endorsed:
Pumps
-
Pump 1
-
Type of Pump
- AG Walker
- Tokheim
- Prowalco
- Ado Pumpset
- HFO Pumpset
- Gilbarco
-
Model Number
-
Serial Number
-
Number of Hoses
-
Counter Mechanical
-
Counter Electronic
-
Specify Product:
-
Picture pump 1
-
Pump 2
- AG Walker
- Tokheim
- Prowalco
- Ado Pumpset
- HFO Pumpset
- Gilbarco
-
Type of Pump
-
Model Number
-
Serial Number
-
Number of Hoses
-
Counter Mechanical
-
Counter Electronic
-
Specify Product:
-
Picture pump 2
-
Pump 3
- AG Walker
- Tokheim
- Prowalco
- Ado Pumpset
- HFO Pumpset
- Gilbarco
-
Type of Pump
-
Model Number
-
Serial Number
-
Number of Hoses
-
Counter Mechanical
-
Counter Electronic
-
Specify Product:
-
Picture pump 3
-
Pump 4
- AG Walker
- Tokheim
- Prowalco
- Ado Pumpset
- HFO Pumpset
- Gilbarco
-
Type of Pump
-
Model Number
-
Serial Number
-
Number of Hoses
-
Counter Mechanical
-
Counter Electronic
-
Specify Product:
-
Picture pump 4
Tanks
Tank 1
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
Tank 2
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
Tank 3
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
Tank 4
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
Tank 5
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
Tank 6
-
Type ag or ug
-
Type Hor or Ver
-
Product
-
Size
- 2200
- 4500
- 9000
- 14000
- 23000
- 46000
- 80000
- 100000
-
Picture of tanks
Hfo Installations
Heaters
-
Quantity?
-
Heater Kw?
-
Heater Type?
PVR
-
Pvr Type?
Tank Gauge
-
Size
Strainers
-
Type and Size
Filters
-
Filters type and Size
Other
Other equipment
-
Engen' Canopy
-
Engen's Bundwall and Spill slab
-
Engen's Pollution solution
Additional Equipment need to be recorded on assets
-
List equipment below