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SEP;13-2005(TUE) 14 57 15PSFOLIFORNIR (FRX)91669991 1177 P. 019/021 <br /> Tracer Research Corporation <br /> Site Information For.6ithanced Leah Detection Sites <br /> Submit Completed Corm Wlth Each Job! u� <br /> Technician ,",' t- J-'I"' Job tt ILbO.��f . —Dnte <br /> Sita Names <br /> )?urease of tu�¢tt(Pmdnet an water whlc Within l coo' ntatnble stsornlary contalnment7 Rnpimory directive? New 4utallatinn7 6mcrgmcy <br /> Gmcraturt Cansutnutmommcndadon7 athiM� <br /> MPA (remdntorvreMnn): <br /> Swill Bta4 £ lust; TKI (Pus z , TK? a z .P;n TY, ^ ,< TK4 (P:m 'n� TICS (Pass/Fw7) TK6 (Pwts/Ft:,, <br /> Tyat_ofSumnPttmn (Saotiou) bine <br /> Vcnc Lit;c PQbcs <br /> VnnnrRecovery Ling <br /> Probcv <br /> Tvnev of R nckftl l <br /> xi!„ P;t -h)r-ate- ➢�.a �£�f4'f/S'/f- .— - <br /> Line Trench f-71 IX)( 49, <br /> Ground Cover (Guy u�c y s a (ca tr <br /> ,Q and CoverCandit;on (ExceUent) (Good) (Pair) oo (other) <br /> List All Com2an tp,MM <br /> Tallic (Single Wall) oublc (Steel) 69a (other) <br /> Lanes (Singlo Wall) Double (Steel) ljih (Ebemcnch) (other) <br /> Vent Linc; (Doable Wall) (Steel) (Fib la (Other) <br /> Vapor RecoveryNPCA <br /> (Double Wall) (Steel) berglnss (other) <br /> VnrmrRuossist) <br /> SumpConsmlctinn: S nlcdtOtankt (Dirt) (Retrofit-bolted toTiserattaaLtop) (itetrolit-bolted tomanmy) <br /> SoillBnrkey�lunrccrTvnteta. C�l,J <br /> Ouct{11 Pm_tectinn �ti$GF ll1TPt F�/� <br /> To Fills ( <br /> Tank. }yljjq)�y—• <br /> NTonitorin�Wr�,�LcentinniEnrdrs,:P,.;�`_� �„____ <br /> Water in Sump: YES o63t Depth fromsurfucc; <br /> Water in Line trencL YES h Depth fromsur.1cr,, . <br /> Waterintankpitt YES J DcpW&omsurfacc: P_J A <br /> Linc Lenk Detectnrs <br /> Fibertreneh dascrfntionl <br /> Composition, " <br /> Shape(drawpivt=irmcw;nry): <br /> Depth to top: <br /> Signature of site pezonvt:tifying condition of site at end'ofinstallation:�L, <br />