Laserfiche WebLink
• . Work Order: 2220022 <br /> IP► Tanknold" <br /> `S" O CKfJST, SERVICE AGREEMENT 6 OPERATOR VERIFICATION FORM <br /> i. Site Nnrzw: sdil ams W O.#: ,5 <br /> 222-602Z <br /> sde : CIty/STIZIp:. bate: <br /> scnpa a wnrk: <br /> L 5s t �h S <br /> Pans.B ht Tale P,ovtried; <br /> Arrival Time at sties Osparture Tema tnxn xaa: Tei-0 Travea Tine. <br /> ✓ PRE-TEST PROCEDURES ✓ POST--TEST PROCEDURES <br /> I. Discuss sarety procedures wth site personnel 7. Remove all'LockouVIagout"devices. <br /> 2. Priar to fuel deliveries,the complete tank 2. Run ON pumps and verify there are no leaks under dispensers <br /> system must be placed back into working or In STP sumps. Must be witnessed by siterepresentative, <br /> order. o Imrac?Valve Test Port <br /> 3. All pumps,dispensers,and eloelneal breakers o Leak Detector Threads <br /> of the pmdum(s)to be tested must be disabled U .Functional Element&Relief Screw <br /> during the tost(s). 3. Install a laud wire seal ou air test plugs&teak detectors that <br /> 4. Secure entire work area with barricades, ware serviced. Count LD threads'. <br /> cones arra/or caution tape- L'R._ L2__ L3_ L4^ L5 <br /> 5.. Place fire extinguishers and"Ng Smoking' 4- Ensure that all tank system components are restored tc their <br /> signs in the work area. ohipmaI stale(including): <br /> a. Turn off and secure the circuit breakers)of ATG probes;sensors,&Caps <br /> the product to be tested with lockout devices Ball floats,dry breaks&caps <br /> and lap. Cathodic protection system is operational. <br /> 7. Plane*Out of Se&rc4 bags on the dlspwtser Containment sumps are dry <br /> nozzles of the product(a)to be tested. <br /> Dispensers A POS are rept <br /> Dispenser panels are replaced <br /> 8, Verify proper Lockout/Tagout procedure is Drop tubes,fill adapters&caps <br /> complete by trying to operate pumps. Lask detectors&copper vent tubes <br /> 9.. Close ball valves or check valves on the - Manhole covers and sump lids <br /> product piping to be lasted. Monitoring system is operational <br /> 16. Ranwva the electrical"beyorwt"connector - Shear valves at the dispensers <br /> rrom the STP(s). - Siphon Imes and manifold valves <br /> & -- Spis containers&drain valves <br /> • STP fittings and baronet 00nnect0hi <br /> 5. Remove cones.signs,and caution to e. <br /> Tan"Ology Teaan Name ; Pre OctSignature Post-Test <br /> chmlure <br /> stgnatvre below connmet thattnaka Retail M the POST—TEST ProcaU i" rftiad by the IM <br /> j site Represamative Name Pr Teat 5ignawre t Paa4Test sgnatma <br /> Comments: <br /> 3 <br /> L' Tmiaekao-NDE.lwmam-w &evieai4?}.01 <br /> Tanknology-NDE 8900 Shoal Creek,Building 200 Austin,Texas 78757 <br />