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Work Order: 2251443 <br />by <br />Site Conditicn Checklist <br />nnmpola+ bn+� io+o wwrvrroa win rr.nx �rvq' .secwor. <br />.Facility Information; ;.Contractor Information <br />Date -L7-01 Testing Company Name: �� _�J ✓�� <br />site;# a Z.✓ Testing Company Phone: <br />City Print Lead Technician Name- <br />eMa int. Ticket" N Lead %cluliciaii Signature: X. "4"" <br />P+r* o en:ne Jlm� 2W' <br />primed 7l7;;i UjI <br />.y:e C4vulrrr. �r _•'Ain" "•7Ci••7.x13 <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />Ar annular sensors ai the lowest point in the annular space- (circle a ropdaIt response) <br />N NA Vnleaded (Primary) r '�N NA Unleaded (Secondary) tI NA Pramium Y, N_ NA father: <br />2 <br />Is all debda ronerved from all tank and dispenser sumps= (circle appropriate response) <br />N NA ill No_ identify IoCatfin of debris and explain in comments) <br />Regular Orade (primary tank) sPn5ur5 within 1" of the bottom: (circle appropriate respn lset <br />V. N -A Turbine Sump lkN NA Fill Sump Y- N, NA Other- <br />ther <br />0 <br />4 <br />Ar Regular Grana (secund�yy rank) sensors within I" Of the bottom: (circle appropriate responsd) <br />N NA Turbine 4 <br />Sump N,_ NA Fill Sump Y N, NA Other: _ <br />V� <br />Are Nrerniu+n Grada sons wilh(n 1" of the hollorn: (circle appropriate rospori <br />_ <br />{QN, NA Turbine Sump N NA Fill Spmp Y, N-NAOther: <br />Are Other Grade (write in grade_ ) sensors within 1" of tha bullem: (circle applupirw a response) <br />e <br />Y, N, NA Tur6w. sump Y. N, NA RI Sump Y, N, NAOther. <br />Are Other Grade {wnlr in grade _ ) sensors within 1" ut the hohom: (circle apprmriote roajonse) <br />Y, N. NA Turbine sump Y, N, NA Fill Sump Y. N. NA Other: <br />Are all Dispenser sensors within l' of the bottom: (circle approprlale response) <br />d <br />Y, N. NA (if no, place in lowest posilmn and answer yes or ropon tp OM and oxplain in comments section below) <br />Are colter pins removed from all Dispenser and tank sump sensors: (ciRJe appropriate resiwnse) <br />Y NNA (11M, remove cotter pins opganswer yes or reppA to OM and explain in comments section below) <br />P+r* o en:ne Jlm� 2W' <br />primed 7l7;;i UjI <br />.y:e C4vulrrr. �r _•'Ain" "•7Ci••7.x13 <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />