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i I y\ <br /> 7 <br /> T-172(Rev.12-15) <br /> Storage Tank or Pressure Vessel Monthly "In-Service" Inspection <br /> MONTH/YEAR Region <br /> Z. ❑GOM lestern ❑Canada <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 Tank Number Shell Chime Roof Appurtenances Foundation Device Verification <br /> 12-lK-22 & 12 OK pk On p /L Oil, - <br /> 13 <br /> -1 -Z �� d <br /> a-15-2 14 <br /> 16 <br /> 18 OK GA, G S Z <br /> 2, 19 Q O� O� D/L Gf` <br /> 20 Oc31rL V <br /> 21 01 D!� of 1-� a cvnlli" <br /> I2-a 22 � 61c <br /> 12^ 2 2 24 C�k 1ti n1a n1a <br /> 99 nla n1a q(C <br /> -� Z-2 n1a n1a p/ nla nia <br /> /Z-Of^ -L Air receiver ID OL110-LF87953 n1a nla <br /> Air receiver ID A043907-4 Ck n1a n1a p C7 <br /> 2-01-22 n1a n1a p ok n1a <br /> nia <br /> 12 41-22� Air receiver ID A003503 89 !%'�C <br /> Notes: ALL FINDINGS AI E TO RE ENTERED IN SAP AS I'm NOTIFICATIONS,IFIGATIONS,NOTIFICATI NUI4tPgg'S atI474Jf.i�F.I>r I�i$T p - <br /> 7� oD S <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> all Survey the tank, attachments and surrounding areas for unreported conditions, or perform gauging and alarm checks. <br /> Vsu y Y <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 /> PAGE 1 OF 2 <br /> DISTRIBUTION: Original sent to IGR Coordinator or entered by Designee <br /> RETENTION: SAP <br />