Laserfiche WebLink
�.. e <br /> SignaturT -t�� <br /> J� <br /> EH230038 <br /> (revised 1/31/02) <br /> RETROFIT OR REPAIR <br /> 1. Site map enclosed YES [] NO[] <br /> 2. Spec sheets attached for equlpmt;rit to be installed YES[] No[] ::;:SEE NOTE <br /> 3. Description of work to be completed: <br /> PURSUANT TO SAN JOAQUIN .COUNTY OFFICIAL INSPECTION REPORT OF 05 <br /> APRIL, 2004, REPLACE LEAK DETECTOR AT 87 TANK SUMP, REPLACE CONTAIN- <br /> MENT PAN SENSOR FOR MUL'iIPRODUCT DISPENSER (MPD) AT 9/ 10 FUELING <br /> STATION AND REPLACE SPILL BUCKET AT 91 OCTANE TANK . <br /> ""LEAK DETECTOR SHEET ATTACHED, SUMP SENSORS ARE GILBARCO, NO LONGER <br /> MANUFACTIRED AND HAVE ORDERED VEDER-ROOT SUBSTITUTE AND OPW SPILL <br /> BUCKET. THOSE SPEC SHEETS WILL BE FORWARDED UPON RECEIPT . <br /> 4. Description of equipment to be use 9: <br /> (1) RED JACKET FX1V LEAF; DETECTOR <br /> (2) VEEDER-ROOT DESCRETf= SUMP SENSOR REPLACEMENT FOR GILBARCO SENSOR <br /> (3) DPW SPILL BUCKET <br /> 5. All equipment`is Stats certified or,a�pro1vepd. YES [Ci NO [] <br /> 6. Decontamination Procedures: N Il l <br /> a. Will piping be decontaminated prior to removal? YES[] NO[] <br /> b. Identify contractor perfor•3ring decontamination: <br /> Name N I Phone(—) <br /> Address 1 TI City-_—Zip <br /> 2 <br />