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SHELL OIL COMPANY - CEICATION OF FILL TUBES & INSPEC OF SPILL BOXES <br />Station WIC Number: ` �S�`} `�G District: <br />Station Address: �� /71-47A) <br />Purpose of Visit: <br />iG-- -f iE— 577 iU,:� <br />:..... <br />S;P1LL B4XE5 <br />FILL TUBES' :. <br />Product <br />Type <br />Condition <br />Overfill <br />Drain Operational? <br />SU <br />/�)C) iv <br />From Tank <br />Yes No <br />RU <br />-0 n! <br />Yes No <br />Bottom <br />Installed? <br />Type <br />Yes No <br />SU <br />2 , inches <br />/,L/Q <br />Yes No <br />Yes _A_No <br />RU <br />inches <br />Yes No <br />:..... <br />FILL TUBES' :. <br />Product <br />Distance <br />Overfill <br />Condition of Overfill <br />Stick Shield <br />From Tank <br />Flapper <br />Present? <br />Bottom <br />Installed? <br />Type <br />SU <br />2 , inches <br />/,L/Q <br />Yes _A_No <br />RU <br />inches <br />Yes No <br />AEG <br />inches <br />Yes No <br />%�-Viiu <br />inches <br />Yes No <br />DSL <br />inches <br />Yes No <br />• ARE PRODUCT IDENTIFICATION TAGS/COLLARS INSTALLED? YES NO <br />• TURBINE TYPE: Cathodic Protective Enclosed Sacrificial Annode <br />Secondarily Contained Unprotected <br />ADDITIONAL REMARKS: <br />I certify the above measurements regarding fill tube distances are correc . <br />SIGNATU E <br />�1 <br />COMPANY <br />D TE <br />