Number of Tanks

PAD DECLARATION FORM

Sales Order Number

Customer Name

Ship To Address

Town

State

Site Contact Name

Your site contact name

Site Contact Number

Your site contact number

Email Address

Best email address to reach you

Preferred Installed Week

Date

Tank Line No.

For reference if multiple tanks are present in same SOR

Optional AddOns Data For Tank 1

Tank Model

Wall Finish

Roof Finish

Minimum Pad Diameter

Minimum Pad Height

Choose Your Preferred Fitting Position For Each Component Using The Image Above As Reference

If the 'To Be Confirmed' option is selected, a person MUST be present on the day of installation, to confirm the correct location of the component/s with the Installer.

Your Tank Inclusions

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Overflow
Access Hatch / Ladder

Your Tank Inclusions

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Access Hatch/ Ladder

Your Tank Inclusions

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Leaf Basket / 50mm Inlet
Overflow
Access Hatch / Ladder

Your Tank Inclusions

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Leaf Basket
Access Hatch /Ladder

Inlets

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
25mm Inlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Inlet - Brass (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Inlet - Galv BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Inlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Inlet - Brass (CT)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Inlet - Brass (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Inlet - PE BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Inlet - Brass (CT)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Inlet - Brass (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Inlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Leaf Basket

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Extra Leaf Basket

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Stainless Steel Leaf Basket

Hi Flow Inlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
400mm HiFlow Leaf Basket

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
500mm HiFlow Leaf Basket

Dektite Inlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Dektite Inlet 75-175mm

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Dektite Inlet 150-300mm

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Dektite Inlet 240-500mm

Outlets

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
25mm Outlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet/ Valve - Galv

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet/ Valve - Nylon

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet/Valve - Brass (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
65mm BSP Outlet - No Valve

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
65mm Outlet/Valve - Metal (CT)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
65mm Outlet/Valve - Metal (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet/ Valve (CT)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet/Valve - Galv BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet/ Valve - HDPE BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet/ Valve (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet No Valve - GALV BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet No Valve - HDPE BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet/ Valve (CT)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet/ Valve - Galv BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet/Valve - HDPE BSP

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet/ Valve (SL)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet No Valve - HDPE BSP

Overflow

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Extra 100mm Bellmouth Overflow

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Extra 100mm Bellmouth Overflow

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Bellmouth Overflow (2.9m)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
150mm Bellmouth Overflow

Ladder

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Heritage Ladder

Level Gauge

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Tank Level Gauge

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Tank Level Gauge (3 ring Tanks)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Tank Level Gauge (Heritage)

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Tank Level Gauge 2.9m High

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Dipstick Tank Level Gauge

Scour Drain

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Scour Drain

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Scour Drain

Antivortex

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm AV Outlet - Flexi Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm AV Outlet - HDPE Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm AV Outlet - No Spool

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm AV Outlet - Flexi Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm AV Outlet - HDPE Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm AV Outlet - No Spool

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
150mm AV Outlet - Flexi Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
150mm AV Outlet - HDPE Table E

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
150mm AV Outlet - No Spool

Your Chosen Fire Outlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm CAMLOCK FIRE FITTING

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet /Valve with CFS

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet /Valve with 65mm Storz

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Outlet /Valve with Camlock Fire Fitting

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
65mm Outlet /Valve - Metal CFA

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm CAMLOCK FIRE FITTING

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
80mm Outlet and Valve with Camlock

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
CFA Fire Outlet and Valve

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm CAMLOCK FIRE FITTING

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
100mm Outlet/ Valve with Camlock

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
150mm Static Fire Storz Tree

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Policy 14 Fire Assembly

Your Required Fire Reserve Capacity (in Litres)

Litres

Upgrade Kit Inclusions

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
Ladder
Extra 50mm Outlet

Rows	Position 1	Position 2	Position 3	Position 4	Position 5	Position 6	Position 7	Position 8	Position 9	Position 10	Position 11	Position 12	To Be Confirmed On Site
50mm Male Cam. Male Thread Aluminium

EVA RAIN Gutter Is Included In This Tank

ORIGINAL Gutter Is Included In This Tank

Dust and Vermin Proofing Is Included In This Tank

A DAVEY Pump Is Included In This Tank

A GRUNDFOS 46H Pump and Cover Is Included In This Tank

Geo Textile Underlay Is Included In This Tank

Rhino Hold Down Kit - Concrete Pad Is Included In This Tank

100mm PVC Weather Proof Cowl Vent Is Included In This Tank

Set of Rainsaver Caps Is Included In This Tank

65mm Storz Coupling Is Included In This Tank

50mm Camlock Coupling Is Included In This Tank

150mm Bellmouth Overflow Upgrade Is Included In This Tank

Fire Tank Sign Is Included In This Tank

Any Additional Comments?

PAD DECLARATION FORM

Tank Information

Tank Information

Tank Information

Owner Declaration