Laserfiche WebLink
CONFIDENTIAL <br /> Praxair Services, Inc. <br /> ` Technical WuUons for the Industrial Wand. <br /> u�"'y f SCO i n-saak'A"bmneh Carror:a. <br /> Site Information For Enhanced Leak Detection Sites <br /> p� <br /> Submit Completed Form With Each Jobl <br /> Teciumian �I/y &&M,, _7ob <br /> Site Nam aile✓rpn/ bkfA") -1-106 <br /> F,Yur M of test:0%&MCM Wdu tablet? VrAw low'of WCIV Uutegtatde secooduy oonft=nwV Regulaimy d nct*v7 New lasWbMou7 <br /> 9WWnay Gaaeaabx? Ca mhmnl===w&ftod other) <br /> CEMA " <br /> "UpoladmMt jjUagpMI TM ROXQ TK4 VWWFM T" tel) TK5 (Pass 810 <br /> MMr.of $}= Mw(ka) <br /> l <br /> Vaoor]T�ovstnr Ib �� <br /> Types of BBC ®[ <br /> r <br /> T13 erA r L <br /> cwlam d Cover (other] — <br /> gnmmd Cover Condition (Goad) (Fax) (Poor) { <br /> List All Comaonent Typel <br /> Tank m le (Double Won) (Stee) 4niiRg!) (other) <br /> Lines (q�Wsp (gam (Fibat=ch) (atbar) <br /> Vent Lacs �a (fable Wall? (Stas]} i ) {other) <br /> Vapor Rc, to (Doable Wa11) (Stem (off) <br /> mor Emo w(Balance) (Assist) <br /> e n ( to tsok �Djrt) (Pztmfrt-bolted to neer at tank top) (Rehrofit-bolted to maaway) <br /> a <br /> Took Mg <br /> Tank hUa folds <br /> Well (Locationsted de <br /> ]Nater m Sump )w /(,@D Depth five staf%w <br /> Water m Luc h=oh YESDepth$vm sur£aae <br /> Water m teak pit: SC>SN Depth <br /> e otxcto:s I� - <br /> d do <br /> Composition. <br /> Shape(draw picture l[ucaeasazy) <br /> Depth to top <br /> Sig Mom of site person V=fY ng condition of sitz at cud of Iuadalletlon 2. <br /> t <br />