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Work Order: 2256623 <br /> # "_ 1�32 <br /> by 'A61 <br /> WORK ACKNOWLEDGEMENT FORM ,or <br /> 10 <br /> E-MAINTENANCE TICKET NO: ��5� ? DATE: <br /> FACILITY NO.&ADDRESS: e <br /> VENDOR NAME&ADDRESS: 9*' 'e <br /> rSERVICE REQUESTED. <br /> ZTANK UNE TIGHTNESS TEST U FACILITY INSPECTION U ENVIRONMENTAL REPAIRS <br /> ]VAPOR RECOVERYTEST 'JSECONDARY CONTAINMENT TESTING J OTHER <br /> U At '.RM T—^ AS LISTED ON VEEDER-ROOT PANEL — <br /> LC --ATIC::. OF ALARM J SUMP NO. JUDC+UiSPENSER No. U ANNULAR TANK 1d0. <br /> LLL ALARMSCLEAREDJY U J <br /> PLEASE PRINT LEGIBLY'--4 '�" <br /> A^�re sensors)located at the lowest point'? Chain attached to shear valve? Debris removed from UDC? <br /> IoY UN I-)NA 1] O <br /> Y JN JNA -- Y �aN LINA— — <br /> Have all sump lids and dispenser Epnels been U ECS Notified of liquid found in Vapor equipment repairs <br /> secured and sealed? 0 Y d NA corntainmentsumps documented in Repair Log? <br /> { Aonly rf na sumps or dispensefs were opened. —— —— — — J Y U N JNA_ _ . <br /> L.-- — — - - - - — <br /> NUMBER OF PERSONNEL_ ARRIVAL TIME_R—/-2)— <br /> DEPARTURE TIME <br /> TOTAL HOURS{MINUS MEALS) <br /> �'—— N E OF D E NAGER <br /> GHNI IAN P INT NAtVIE 11�A — - <br /> -- -- -- NATURE DF DEALERIMANAG <br /> trnu f iAAI Cir-M alk IAF <br /> Tanknology Inc. 8501 N. MoPac Expressway, Suite 400,Austin,Texas 78759 <br />