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&NOCAL CORPORATION • <br />SITE SURVEY <br />Test Date: 09/12/95 Station no.: 05421 <br />Contractor: NDE Environmental Address: 7303 PACIFIC AVE <br />Tester: MIKE LEVESQUE City/State/Zip: STOCKTON , CA. 95207 <br />DO FILL PIPES HAVE SPILL CONTAINMENT BOXES?: (Y/N) <br />UnI 87 <br />UnI 92 <br />Are overfill boxes clean and in good repair? (Y/N) <br />Dsl <br />If no, list problem: <br />DO TANKS HAVE OVERFILL WARNING DEVICES?: (Y/1� <br />UnI 87 <br />UnI 92 <br />What type?: (Ball floats BF, Flapper valve FV) <br />UnI 87 <br />UnI 92 <br />ARE DROP TUBES PROPER LENGTH?: (Y/N) <br />UnI 87 <br />UnI 92 <br />Are tank bottom protectors installed?: (YIN) <br />UnI 87 <br />Lin, <br />Do they have proper gaskets and springs?: (Y/N) <br />UnI 87 <br />IMPACT VALVES: <br />UnI 92 <br />Dsl <br />Dsl <br />DO <br />Dsl <br />Dsl <br />Number tested: UnI 87 0 UnI 92 0 <br />List non -operational valves by dispeser no.: <br />OBSERVATION WELLS: Caps <br />mai <br />Dsl 0 <br />Product in well ? (YIN) Thickness Inches <br />IS EMERGENCY SHUT OFF SWITCH PRESENT AND OPERATIONAL? (Y/N) <br />DISPENSERS: UnI 87 Un189 UnI 92 Dsl <br />No. per: <br />Nozzles: <br />Comments: <br />