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76 PRODUCTS COMPANY <br />2929 East Imperial Highway <br />Brea, California 92621 <br />ANIrJAL SITE INSPECTION FORM <br />SITE #: 7 yQ% <br />DATE: -7 r <br />I. VAPOR RECOVERY <br />Stage I (Fill area) <br />Stage II (Equipment) <br />System Type <br />Hose/Nozzle Type <br />_ <br />_ <br />Co -axial <br />Dual <br />Remote <br />Balance <br />Assist <br />Co -axial <br />Dual <br />Bootless <br />COMMENTS: <br />II. EQUIPMENT S U N/P PROB.SYS. <br />Fill Cover <br />Fill Cap <br />Fill Seal <br />VR Cover <br />VR Cap _ _ n <br />VR Seal <br />VR Drybreak _ X <br />Sub Pump Cover 2� <br />Sub/Pump <br />Pump Sump Area <br />Over Spill Box <br />Drop Tube <br />Tank Bot. Prot. _ _ <br />Y N PROB.SYS. <br />Overfill valve installed � _ <br />Drop Tube within 6" of <br />tank bottom _ <br />COMMENTS: <br />�• �� <br />�✓�% 0 f �� D� �'Cs`/ � <br />III. DISPENSERS S <br />General Insp. <br />Blending Unit <br />Impact Valves <br />Hoses & Nozzles <br />Type of monitoring system <br />U N/P PROB.SYS. <br />(if present): <br />COMMENTS: <br />S=SATISFACTORY U=UNSATISFACTORY <br />N <br />P=NOT PRESENT Y=YES N=NO PROB.SYS.=PROBLEM SYSTEM <br />COMMENTS: <br />This form shows the conditions of the site after the technician has left the <br />site. Copyright 1995, Triangle Environmental Inc. <br />