Franzen - Hill Questionnaire

Hill-Vac Vapor Recovery for Mobile Fueling Trucks

Please complete this form, to receive a quotation:
Description of Truck to be Retrofitted:

Make Model
License Number
Gasoline Tank Size Diesel Tank Size Other Fluids Tank Size
Phase I Vapor Recovery Yes No Size:
Bottom Loading? Yes No
If yes, manufacturer: Size
Type of overfill shut off, if any: Power Take Off Type: Gear Driven Hydraulic
Power Source: Internal Valve on Phase I Vapor Recovery:
Product Meters: Model Size:
Gallons Per Minute -- Maximum: Minimum:
Meter Manufacturer: Number of Fueling Nozzles Required:
Reel & Hose Lengths Resale Fuel? Yes No

Note, if used for resale with Phase II Vapor Recovery, the resale meter must have a 2 GPM minimum flow rate and carry a U.S. Department of Commerce National Institute of Standards and Technology Certificate of Conformance.

Comments: Company Name: Contact Person: Address:
City:	State/Prov:
Country:	Zip/Postal Code:
Phone:
Email: