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JAN-1-2002 04:20P FROM:*rT � I ' 11:12094683433 P:8/8 <br /> 311 TEST FOR* <br /> ITE NAME :$TTE# SFM COUNTY <br /> r�yeA1 SA-n/ VV4 OwAl <br /> ITE ADDRESS SM arY.STATE.ZW <br /> f So 1 A-. UAex. 7D,vc �'®a+"I C-A _ Riga /_:a-: 199,34f. <br /> Y>ES NIA UISPICASER&TANK AREA <br /> All pipes midw the dispenser are capped pl . <br /> No leah ate presem mader&spmsew,UM QWM hares Of DOEZICS <br /> �{ All impact valves&ball valves are openpvdud Imes have been put back in service. <br /> ,){ All dispenser panels are convxdy re-inswled. <br /> 1< All lock or"out of service"bap on ratans have bna mnoved. <br /> K a pump has been w1Z pl1644 and product has been renumW to <br /> Airy isolation plucs have been removed. <br /> All tank top compownts.removed have bftm.re-installed and secure. <br /> Drp out is fro of pmdixl and fimcti <br /> All lids and covers that were removed artI ly rc- <br /> All drop tubes removed have been re= ged <br /> All leak dowwrs refooved have been stalled and subm"ible pit cinckedfor lealm <br /> Any defective parts replaced wem left wiiidl1[the site representative. <br /> A, <br /> j( Any pMduet that was pumped for testing baa been returned to the proper storap tank. <br /> �{ All tools.testing equipumt,safety cones m havt been rmwved&returned to truck. <br /> THE SITE HAS BEEN RETURNED"nh ITS"PRE-TEST"CONDffHW <br /> DDITIONAG COMMENTS- <br /> g7' I <br /> I <br /> SITE R6RESENTATIVE NAME&TITLE PRINTED SITE REPRESENTATIVE SIGNATURE DATE <br /> N.T.C.A. TECHNICIAN NAME PRINTED N.T.C.A. TECHNICIAN SIGNATURE DATE <br /> L6/ �e®^ 14.a-/ nod e e a <br /> TESTING COMPANY I <br /> &.4 L yr U�"�f <br />