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SEP.-13-2005(TUE) 14: 55 CGR5*IFORNIR (FRX)911691 1177 P. 011l021 <br /> Tracer Research Corporation <br /> Site Information_For Enhanced Leak Detection Sites <br /> Submit Completed Form With Each &c:'' <br /> TechnfektL Job P D -- C? 1 . a L_ <br /> Site N 1 <br /> PntTace Of"&(Product on watcrwblc VQ ia.1000'UNCIj7 yptab1camoiW2ycunW1nmcat7 Rgiulatorydirativc?N�Inswllatiou7 r j r Cy <br /> cw=j.w(t ConmtlgnrmonlmontlnHan7 .oar�j;- -�� <br /> CUPA !o ra <br /> SPl1l kRakaTyst; T[U (Pas9g§1 • nM ( a�Fttiu 'IFS (ft 1�F_)iq TK4 (P a MI; <br /> asei } (Pass/Fm7) TK6 (PasslFail' <br /> xz1Ld3L m Amts (Suction) bine <br /> i <br /> Toren ofBnC.'Rol <br /> Crrnmd Cover (Co Ash (othcr�_ - <br /> G1Qifp C 7vcrCondiGan (Exco-Hent) (Good) (Fair) oe (othcrl <br /> ListAll Comore Imes <br /> Tan$ (Siugle WaII) Ir7a (Stool) (other) <br /> Lanes (Sitlsle Weill? gbla (Steel) (Fib==ch) (other-) <br /> Vea tins (Doublo WaM (Sloe (Fib (other) <br /> vaporRacovezy W (DoublaWalo (Steal) 1 (oWcr) <br /> ';rmnnrRearnm,v I (AvoistJ <br /> S=QgnMgt141li Scolcdtotank (1]irt) (Retrofit-bolted toriscrattanktop) (Retrofit-bolted tomaanmy) <br /> 'JiiW juckctYhmuer Type ere- JE:e CO <br /> Q�r1S1 Protection__i!1'�%rJr19Vt-Gl1/L <br /> TpnkMnnifolds <br /> �1UIS'IJ71E Wall (tncntGms oral dceih.l <br /> Water iuSump; YES 9:jj�' Dgafromw fircm_"= <br /> Water in Lino uuncb. YES Daptli5oat surihac. <br /> WatertbtunkpiL YES / (OP Depth froln.sadaer,___ � <br /> . coxapo6ltinn• <br /> Shnpe gnaw vicbm irn ary): <br /> Depth to top, — <br /> SigoauntioEsiuepetsoitvaifyingwnditaouo£ateatead'ofiuskillttrion: /11� ��G <br />