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PETRO-CHECK, INC. <br /> PRESITE INSPECTION REPORT <br /> Tank Owner Station # c n Je T q .mor 5 <P r c, <br /> Location ) l H �i !^ o a; _ <br /> Contact Phone # <br /> Tank Size O R/UL i o,0 o u P/UL r O,0 0 0 REG 10, 000 D. OTHER <br /> Tank Type <br /> Hoses Per Prod u <br /> Hoses Per Isle a 2 <br /> Any high hose re- <br /> trievers? <br /> Size fill riser Y _ y <br /> Stage II VR (tanker) v v > Y ' <br /> Type overfill ty.dNF NONE NbNe- <br /> Type Leak Detector R,M L D R"4 , D TL D. <br /> Any vent caps? Y t6* y F S Y S <br /> Type Turbine -R, 3 R,7 R ; <br /> Type Suction NONE NONE NONE <br /> DESCRIBE THE FOLLOWING <br /> 1. Turbine pit and connections <br /> 2. Stage I VR System \� S <br /> 3. Vent System <br /> 4. Any system that is manifolded O <br /> 5. Remote fills No IV E <br /> 6. Any leaks or possible leaks? Nd N t Vz S T-0 t t <br /> 7. Water Table and how determined. LL N 1S. IVo w a l i i0a.j I- <br /> 8. <br /> 8. Any leak detection system? Y E-S R, T, Prod <br /> Suggestions to update or correct any part of location: <br /> Describe plumbing needed prior to testing: <br /> - T <br />