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Work Order: 2251168 <br /> by <br /> C% l� <br /> W Site Condition Checklist <br /> rG-vmlw Iwo lu Lr tuLI*IPt %•.I•anroal C041Y I"crY' — <br /> Fscll n Herr Corib d" nfiarmai <br /> Dote Testing Company Name: - (�•�d�d <br /> Site k Testing Company Phone: 00C1 -2w, -1 no <br /> C{» �.. Print Lead Technician Name: <br /> i. <br /> eMaint.Ticket.p j8Tb ry-*'.y- Lead Technician Signature: 4/ <br /> 7. <br /> Air annular sensors al the lowest nnin1 in the annu ar space' <br /> l (rirGe� proprlato responsui�Y <br /> NN Mother <br /> Y NNA Unleaded(Primary) iA Unlea&d%Secondary) �Premium N <br /> all aobds removed from all lank aria dispenser t.11rrli:s:(circle appropriate response) <br /> N NA (If Nn,idanllly location of debris and es rwn in comments) <br /> Awf Regular Grade(prima lank)sensorswilhill 1•'of thebottum: (circle appropriate response) <br /> Y N NA Turbine Sump N NA Fill Suirlp SNI a Other .. <br /> 1 Are RP war Gracie(secandarJ tan sensgm wiLlrl'f"of <br /> V battom: (circle appro;iflate response)) <br /> Y N� Turbino Sump YY N. Fim Snmp 'i N A their: <br /> re Premium Grade sons within 1"of the bollorr. (circle appropriate response) <br /> Y N NA Turbine Sump Yy.N_A Fill Sump `'. VOther;_- <br /> Other Grade twrite in ggde�T )a 0 <br /> sb ors withPra <br /> in 1"of the bolls (circle a ppriale respnnce) <br /> h <br /> H. NA Turbine Sump N�, NNAA(JI ill Sump N, OUler: <br /> Are Oil�(Grade(virile in grade _)sgnsors within 1'of the bottom. (circle appropriate reaPOnse) <br /> 7 Y, N, tLlf(Turbine Sump Y. N. Fill Sump ', N,b Other <br /> a all lnispenscr sensors Ywinhi 1"of the bottom:iclr:le appropriale response) <br /> Y N NA (g no.place in lcwest position and sr-wan yes or report tD OM and explain in comments auction l?el7w} <br /> 9 potter pins remavedlrom alt Dispenser and I'm,,sump sensors (circle appropriate response) <br /> Y N NA (if no,remove cotter pins and answer yes or report to oM and explain in comments section below) <br /> rt' ct11CWH rWi and dwritb*;CV=6r0tfandc=rfilions sre� •are�Inotlael!•: <br /> Faml urx Y_0 J,Irc iJC7 Pril ov.;C:26'2007 SAr rry,;Jllnn!:MI:NfI r,2m?xis <br /> Tanknology Inc. 8501 N.MoPac Expressway,Suite 400,Austin,Texas 78759 <br />