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Name *	Company Name *
What is the product you need to store? *
Do you prefer above or under ground storage? * Above Ground Underground
Do you want a carbon or stainless steel tank? * Carbon Stainless
How many gallons of storage do you need? *
Is secondary containment a requirement where this product will be stored? * Yes No
Would you like Southern Tank to provide the required equipment to go with this tank (eg., emergency vents, pumps, gauges, leak detection, etc.)? * Yes No
What is the date by which you need this tank/product? *
Where do you need this tank to be shipped? *
How do you prefer to be contacted by Southern Tank? * Phone Email Both
Phone	E-mail Address
Additional Comments
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Thank you for this opportunity. We will follow up with you on this project in a timely manner.

1100 gallon 2-compartment, double-wall tank for diesel and gasoline, fully equipped with working and emergency venting, spill buckets, capacity gauges, 110 volt pump with meter, and leak detection gauge for interstice of tank.