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W.O.# NW1-2335977 Cust Ref# : 383672 <br /> I'll Itknoff fp,Y In{�. <br /> 110601-1 MnPa, I:I,nnwn,v,';,,I I..`.On Aw,l in,I�Y 7HY`u IHUUI or.l ugly <br /> .Vft('11,FAVAN(' I'1, P'01'0 <br /> '7 I\ <br /> 5111 <br /> f fY'I' <br /> site ems :I,rm r r mea <br /> AA1 <br /> ve mnWTI,- TidvafTlma. � •-� <br /> cope a nr en e8 0 art lel a mita Id NVa a to <br /> l+f a yn a <br /> spans a�qulpmer ar a owl n <br /> rel � ��� �- <br /> ro uw up etlmns requner equy;mm�i Rios al,ornnmal,e <br /> PPE-PERSONAL PROTECTIVE EQUIPMENT RE UIREU(Chock✓Roma geed ortrfark eat a�rffNca4le) <br /> Safety Veat---- 1 -Aafety Glasses -i'I oves I h+aunU l'i vlpeUnn <br /> Steel Toe Boots :;plash r7nuuled I(dlard I lel ( Ilial <br /> ✓ PRE TEST PROCEDURES !Check✓each Item c2(t1�pL4td_g.►__It1StC�L-.lf nQtanullcab <br /> I Discuss safety procedijrrys with slla personnel. Nearest hosplial:. ►� <br /> 2. 1- Prior to fuel deliveries the IJ5T system must he plar"ecl hack Into worklnu order. <br /> 3. I-Secure entire work area with barricades(cones,flour,and extension hare,cardiae tape,pennant flags,a'other parlmatmr {lard) <br /> 4. 11 Place fire extinguishers and"No Smoking"signs In the work area, <br /> 5.--I I Implement Lockout/Tagoul per API 1040(when accessing product piping during tasks) <br /> L7 Secure nozzles with"Out of Service"bags and nylon lies. I gortura lila olrctA breaker(s)with lookout doviaea and tag+ <br /> ❑ Close ball valves or check valves on product piping. Disconnect olsctrlral"bayonet"0001'0/11101 from the 8 rF'(s) <br /> F1 All applicable,equipment dlsahled diving toot(s), I I Verity LOTO Is complete by trying to operate pumps• <br /> SIGN IN l.od Tovivnittlon wind sal da„„•.In.•,�^.l uru <br /> General Safety Chocks: <br /> All site personnel have been Informed. _ — <br /> Fuel delivery has been informed, - - f:i n RnpinoWi4vn Remo � - .•Id Rdt,rdaanlaGvd rury <br /> Is a fuel delivery due today? ____ I- 4% <br /> LOTO procedures have been discussed and agreed. (3C yam” AA) <br /> Work areas barricaded to protect workors,staff R puhlla JI h wo dly11ussed ob claalan o illi l..! ,. r„ <br /> ✓ POST TEST PROCE ORES(Chock ✓each 1112111 01111 l). <br /> 1. 1 I Remove all"Lockout/Tagoul"devices. <br /> 2. 11 Run all pumps and verify there are no lenks: 11 Impact Valvo 1,-J I plats under dispensers <br /> I I Leak Detector Threads on STP's 1 1 Functional I lonwntn&Relief Screws <br /> 3. 1 1 Install lead wire seal on all test plugs&look detectors that worn serviced <br /> Count LD threads: L1 1,2 1.3 1.4 1 5 l N <br /> 4. Check following components operational; 1 1 A 10 probes,sensors,&caps <br /> I I Dell floats,dry breaks&craps I I Cathodic plott+ction operational <br /> f l Containment sumps are dry �i (''J ' I I Dispensers&POS operational <br /> I1 Dispenser panels aro replaced I 1 Drop tuba,fill adapters&Caps <br /> I I Leak detectors&vent tubes l 1 Manhole Covers and sump lids <br /> I I Monitoring system Is operational r""11 F` I I Shear valves are open <br /> I I Siphon lines and manifold valves 1 I Spill contalnem&drain valves <br /> I 1 STP fittings and hnyonet connectors 1 1 Vents(not capped,plu(Igod or isolated) <br /> 5. it Remove barricades, <br /> SIGN OUT& era or oriflcatlon of work(OVf) aad Tm hnicittin Nitino I..i Twfukser,:•.yr <br /> General Safety Chocks: t <br /> Work area has been left tidy&safe. <br /> Site staff are aware of work status Including irny mnl,III ing Isolallu 1 ""f'it.Irtn ndahn aIve'Ra la t.R�ta.a+raau�+Slut al+l� <br /> Changes to equipment are documented and coni n inicol,id <br /> All Incidents,near Incident.,and unsafe altuntions repel it Td .• ff�a�_ „�, ,, .r } <br /> , a apresan s ua ommen a: <br /> COMPANY('GNP's DISNTI A 1, lank,wl-1,N Inc, '01S \Il F ran. :•.II:.! — <br /> �1'rinletl cnplrn ul Ildx dunmavl III r unc„nuullyd the cnlrnl a rar,u r..n;ulahlr m Ulc I,u,{ulrlac,l rhe I we lkv'uwr+lt .uu,••1 ., <br /> Ovf <br />