Laserfiche WebLink
Work Order: 2251440 <br /> B 588349 <br /> bp <br /> WORK ACKNOWLEDGEMENT FORM <br /> �T 2 <br /> VENDOR NAME: DATE: / �r <br /> ADDRESS: (,a /r ,r /AUTHORIZE I ON#: — <br /> CITY,STATE:1 +I-A- FACILI rY#414D LOCATION: <br /> SERVICE REQUESTED: <br /> TANQUNE TIGHTNESS TEST U FACILITY IP.S'ECTION <br /> VAPOR RECOVERY TEST F-1 ENVIROWZEN[AL REPAIRS yu <br /> OTHER <br /> SERVICES PERFORMED: <br /> 46' -341f L10 <br /> � r �� �� 11apJ:✓ b� • to _ _ <br /> !Fns nortwn must ba completed by the Geld tecltn Ki•an ea;;n tiro any.nr<is x jc:ed within a dopenscr or tank s„mp• <br /> even it drat w"wiv conaista of a visual inspection.!vlly axawte<1 ropiw sht;'_su distributed as des-grated on the Wttom of 0-h 1 Um. <br /> IUSF.Aooff*kAL POWS AS NEC SWr <br /> LIQUID SENSOR CONDITION UPOTI ARRIVAL <br /> location ID0 <br /> M•rank IDI .:"tion ID:_ IDisp.*•Tank IDI <br /> I acation- G J Ann I nc,tion: Sump J UUC J Annular <br /> Sensm Type: Mechanical 1 r. 1 NA :,ansor Type' Mechanical I F.Iexronic! NA <br /> Located within 1'of lovw2st Poinl Q1 J NA located within 1'of lowest Po;.nt Y f N t NA <br /> ,s liquid present Y 1 N Quantity: <br /> Is liquid Present Y 1 &)Quantity: chain artacieed to Shear valve YIN /NA <br /> Is chain attached Io shear valve Y 1 N 1 <br /> vc <br /> UQUID SENSOR CONDMON UPON DEPARTURE <br /> Has sump lid or dispenser P81ii1al, <br /> as sump lid o<dispenser ganef <br /> een secured and 3e2led YIN/NA <br /> been secured and sealed W N r NA /r,, — <br /> NUMBER OF PERSONNEL ARRIVAL TIMI���� _DFPARTURE TIME_A0 <br /> TOTAL HOURS(MI US MEALS) l �. –•— <br /> PRINT NAM OF DEAL;MANAGER <br /> ' <br /> SIGNATURE OF DEALER)MANAGER <br /> ..inNATt1RE <br /> Tanknology Inc. 8501 N. MoPac Expressway, Suite 400,Austin,Texas 78759 <br />