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Facility Name: VZS-LDIKCA Report Number: _ Date- <br /> 2022.1April 25,201 <br /> D. Tank Top/Associated hardware: General Notes- <br /> Dipstick yPS Tank I Tank 2 Tank 3 Tank 4 <br /> Annular Space Lid/CaplSeals: OK <br /> Manhole Street Lid-BoltslSeals: OK <br /> Manhole PortslSeals NIA <br /> E. Fill Buckets: General Notes: <br /> Lid/0-Ring: OK <br /> Drain Valve OK <br /> Cap-O-Ring. OK <br /> Cap Adaptor: OK <br /> Drop Tube: OK <br /> Mechanical Overfill Valve: OK <br /> Striker Plate Confirmed? NO <br /> F. SumpslAnnularlTrenches: General notes: <br /> Genera! Cleanliness: OK <br /> Sump Riser/Tank Collar Connection penetrations: OK <br /> Sump ShieldslWater Tight Lids/"Hat"or "Plugs"? )K <br /> Piping Visual Inspection: OK <br /> Conduit, J Box, Seat Offs, Inspection: OK <br /> Probe/Cap Wire Condition: OK <br /> In Tank Water Eliminator: N/A <br /> G. Dispenser: /A Pump I Pump 2 Pump 3 Pump 4 <br /> Dispenser Pan: <br /> Dispenser Piping: <br /> Dispenser Impact Valve Location and operation <br /> Nozzle Condition and Operation. <br /> Nozzle Hose Condition and Operation: <br /> Hose Retractor Condition and Operation: <br /> Does Emergency shut off switch work? ( Refueling Site Only) <br /> Is The Electronic In-Line Leak Detector Present and Tested? <br /> Does Turbine Shut Down if System Detects a Leak? <br /> Does Positive Shut Down Occur If Monitoring System is Turned Off? NIA <br /> Slab Condition- kOOD Notes: <br /> Traffic Condition: NONE Notes_ <br /> Rainlirrigation Run Off: )K Notes <br /> Photos Taken? YFS Notes: <br /> Monitoring Equipment Certified? YFS Notes: <br /> CERTIFICATION # <br /> Signature Of Certified Technician: �� Testing Company: Sunwest Engineering Constructors, Inc. <br /> Printed Name Of Technician: aul Mcl.anc i Telephone: 909-594-9850 <br /> All Certification Data Must Be Attached To Verify Above Information <br />