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Technician Facility <br /> Date <br /> Address 2 <br /> Sf, C A ;AGILITY INSP8C C=xqmm <br /> TANK AREA DIspalTSF1t ARFA <br /> PROSM4 <br /> S U NIP DISPENSER <br /> CHECK FILL TYPE: Gnt"ERALI:7IPECTION <br /> PRODUCT ONLY IMPACT VALVES `✓ <br /> Pmlxjc!r & VAPOR (CO--AXIAL) t/ HOSES AND MZva = <br /> SEPARATE PRDCWr & VAPOR Y N <br /> PRDBIXM VERTICAL CCK VALVE — <br /> S U NIP SYMIX(S) UNDER DISPENSER <br /> 0/S PROTECTION _ STAGE II D XIIPME7TP <br /> FILL OOVER 7- <br /> FILL <br /> FILL CAP = <br /> FILL CAP SEAL V CHECK SYSIU4 TYPE: BALANCE SYSTEM <br /> DROP TUDE 7 = ASSIST SYSTIM <br /> 01F PROIECTICN <br /> V/R COVER CHECK IiDSE TYPE: & VAPOR <br /> V/R CAP ^ 7 SEPARATE PRODCJCP & VAPOR <br /> V/R CAP SEAL — PFOBLEK <br /> V/R DRY BREAK _ S U NIP DISPENSER <br /> SUBPUMP OCIVER — FACE cMNrZ <br /> SUB-P[kff' V _ BELTIMS (BOOTS) �7 _ <br /> LEAK XrECORS BEIdCM SPRINGS r _ _ — <br /> PI�24 <br /> S U NIP SYh`ISM(S) ELECTRONIC M)NITORS <br /> UPON ARRIVAL _ Y N <br /> UPCN LEAVING — _ ELECTRONIC TANK GAUGPS INSTALLED _ <br /> N OPERATIONAL <br /> Y _ <br /> 5USTICN SYSTEM _ N INTERS'TIWAL "I`ass INSTALLED -'7 <br /> OPERATIONAL _ <br /> MONITORIT� WTIZS OTHER MONIIORS INSTALLED <br /> OPERATIONAL — <br /> Y N <br /> PRESENT — �[ INDICATETYPE: . <br /> CAPS 1,00W <br /> PROBL&ASS: <br /> R -- RaVlar; U - Unleaded: Ms Mid Grade; P cPrOmiumntD Y Diesel;NO ^NOther <br /> REMARKS <br /> Hgms OOMVIFSII'S <br /> ALL DIS Ru) LF11[(S HAVE BEEN <br /> REPORTED TO RCOIONAL ENVIE OPERATIONAL <br /> IC�7ALiWITri <br /> ALL TESTING AND INSPECTION IS COMPLETE AND ALL SY"rFMi <br /> FUNCTIONING LEAK DE,17C'TOFS ON PRESSURIZED SY5TIMS• <br /> T02MICIAN SIGNATURE: V � - MANAGER SIM'U%TURE:: C <br />