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T-1727(&v.12-15) <br /> Storage Tank or Pressure Vessel Monthly "In-Service" Inspection <br /> MONT El GOM H/YYE 2 AR Region Western ❑ Canada <br /> 0 23 <br /> TANK LOCATION NOTIFICATIONS REQUIRED ❑YES ❑NO <br /> Stockton—Y164 <br /> NOTIFICATIONS ARE REQUIRED FOR ALL FINDINGS.SAP NOTIFICATION NUMBERS TO BE INCLUDED IN NOTES BELOW. <br /> INSPECTION Instructions: Check box if an unreported item is detected. Definitions located at bottom of table. <br /> Hi and HI-HI Tank Gauge <br /> Date/ Inspector <br /> Tank Number Shell Chime Roof Appurtenances Foundation Device Verification <br /> l9 l23 er.��� 12 �k, Q O Ol 6� <br /> 3 3G/Z3 Q�eIt'f'/—i 13 U d CJ�L d �-' <br /> 14 p 61L 8IL cs C9 <br /> 17 <br /> 2.2 16 p ok <br /> 4ec..d L.�n 17 CA aL< 6 I� of a�� <br /> .3 118 0 IL G 0l OIL cal co I <br /> z 5- 20 0 O/L G /C- U lC o l< 0 X_ l= <br /> 3/3o/2-3 a6IVZ+ o ai ak d <br /> 21 0! <br /> o <br /> 2 f" a 24 O D n/a nla p nla n/a <br /> L 99 0 l <br /> Air receiver ID OL110-LF87953 e5 n/a nla nIa nla <br /> ?/!!Jz,3 Li,G�•l.�L-� nla nla <br /> Air receiver ID A043907-4 b nla nla p p l <br /> S �l123 r�.l L� Air receiver ID A003503-89 b n/a nla p)" p n1a nla <br /> Notes: ALL IrHsll3b�[��r kf�# ��U��xFlx IN SAP AS iRl hiOTd9CATION+,NdOTIFICATI N hl�IVkQI=R�SHL7UI4L?SE u$TED 5103- w- <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> ECanadiran <br /> y the tank, attachments and surrounding areas for unreported conditions, or perform gauging and alarm checks. <br /> ures maybe performed by the same individual. <br /> sites, note that routing, distribution and control room/control center coordination will be as per local or GTOM procedure. <br /> i <br /> PAGE 1 OF 2 <br /> DISTRIBUTION: Original sent to 6R Coordinator or entered by Designee <br /> RETENTION: SAP <br /> i <br />