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T-172(Rev.12-15) <br /> Storage Tank or Pressure Vessel Monthly "In-Service" Inspection <br /> MONTH EAR 7���� <br /> �A/estern <br /> ❑ Canada <br /> TANK LOCATION NOTIFICATIONS REQUIRED YES <br /> Stockton—Y164 ❑ ❑NO <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 /> Date Inspector Tank Number Shell �Cjhime Roof Appurtenances Foundation 4andHI Verificatio Tank n`gJ,z1/ 12 0� (/ 0 d <br /> J L 14 d/� V/� 0� a'l"� Q <br /> 0 _ /1� <br /> 16 041 <br /> /'l3-�3 17 p y� U � <br /> 1 <br /> 19 0 <br /> � 20 <br /> -23�Z zL 21 © OA_ C2 7= G2 24 O k Q/` o r I/< <br /> 99 aA - n/a n/a D l nla nla <br /> Air receiver ID OL110-LF87953 n/a n/a <br /> n/a nla <br /> Air receiver ID A043907-4 n/a n/a <br /> n/a n/a <br /> Air receiver ID A003503-89 n/a n/a <br /> Notes: ALL FINDINGS ARE TO RRAWTERED IN SAP AS IN NOTIFICATIONS.NOTIFICATION NUMQERS gNOUI D EE lI5TED BELOW. <br /> n/a n/a <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> Visually survey the tank, attachments and surrounding areas for unreported conditions, Or perform gauging and alarm checks. <br /> Not all procedures maybe performed by the same individual. <br /> For Canadian sites, note that routing, distribution and control room/control center coordination will be as per local or GTOM procedure. <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee PAGE 1 OF <br /> RETENTION: SAP <br />