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Site Number Date ' <br /> Turbbla Area <br /> TAU** pw tankManSTIPS 'afa." Model kltm bar p—p Sp-d Tw61ne rep, rtmerrt. Hip Conffl� SW <br /> p a <br /> Wy <br /> Intact and in <br /> FE=FE Petro It unknown or not legible, proper condition W=Water present <br /> Order CS-Containment Sump (if not,explain F=Fuel present <br /> per tank WriD3 m the RJ=Red Jacket please state that CS-Constant speed SB=Ridged Soil Barrier below) D=Debits present <br /> monitor number TK-Tokhelm VS=Variable speed NA=No Sranp CD=Clean and Dry <br /> NA=No pump NA=No pump In tank <br /> Yes or No (Circle all that apply) <br /> -{ NA=No sump <br /> ' I b S 1 (()C) `�+J C S �S W F D CO <br /> 2 CS W F D CO <br /> 3 I Z _ 5 C S qW F D �D <br /> 4 ((� W F D CO <br /> 5 W F D CD <br /> 6 W F D CD <br /> Tar6inq Area, <br /> Tanks TiiaHoota STP 8errsenPmMonUrg FwWonal Sei er¢ taexcomadore f 9k nlppNe&alborre <br /> = <br /> Test book removed for proper Is the functional element B-Booted Flex B Booted Flex <br /> operation of seconds If sensor is installed,is it at SAC=Sac anode(s) SAC=Sac anode(s) <br /> p� rY operating correctly and not <br /> Order Containment the lowest pouit leab NS=Not m soil NS=Not in sol <br /> per tank n8? NP=No flex present WC=Wrapped or Coated <br /> odor Yes or No Yes or No Yes or No FS=Flex in soil MS=Metal In soil <br /> NA=No boots NA=No Sensor NA=No functional element FW=Flex in water MW=Metal in water <br /> UNK=No access to determine UNK=No access to determine <br /> 2 4e \J P `Ns <br /> 3 rj (' (Q LE<1L <br /> 4 ILS} (S R/ <br /> 5 <br /> 6 <br /> LIFW r"-k-Dgbrctwo, p�q P pf�gTg�,�Gjrp�-ry(pljc�Br� :g�4 <br /> TMI k4V MertLKhtnr Nolo!NUn 96 Type at LD <br /> FE=FE Petro If MLD,is condud BF=Bag Float <br /> Order RJ=Red Jacket If unknown or not legible, available to mstall <br /> please say that D=Electronic a PLLDs7 FV=Flapper Valve <br /> per tank VR=Veeder Roo[ MLL D Mechanical <br /> EA=External Alarm <br /> mondor VP=Vaporlm NA=No LD NA=No LD YNA=No overfill protection <br /> Yes or No <br /> NA=No LD (Cirele all that apply) <br /> NA=Not MLLD <br /> 1 f ,� 4e" BF FV NA <br /> 2 �.� .1 BF FV NA <br /> 3 AIL�` Fv NA <br /> 4 BF FV EA NA <br /> 5 BF FV EA NA <br /> 6 BF FV EA NA <br /> Comments on any danagedkielective equipment .� <br /> hC <br /> JUL x 3 2018 <br /> ENVIRONMENTAL <br /> issued 12/2 712 01 7 ge 4 of 10 <br />