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w 9 -2a -O5; <br />11:20AM;Secramento EMC '9 E 9252816 K 21 <br />2 <br />Customer <br />Job Location <br />Work Order <br />120457 <br />USA Petroleum Corporation #110 <br />USA Petroleum Corporation 1,1110 <br />Contact <br />Sandy <br />2132 Mariposa Drive <br />2132 Mariposa Drive <br />Pail <br />Edwards <br />Stockton, Ca. 95205 <br />Stockton, Ca. 95205 <br />CNI <br />0 <br />209-946-9282 <br />209-946-9282 <br />Site No. <br />110 <br />Spill Buckets <br />Tank # <br />Product <br />Grade <br />Bucket <br />Type <br />Bucket <br />Make <br />Water Level <br />(Start) <br />Water Level <br />(End) <br />Start <br />End <br />Pass <br />Pail <br />41 <br />87 <br />CNI <br />CNI <br />0 <br />0 <br />5 Gallon <br />5 Gallon <br />Y <br /># 2 <br />89 <br />CNI <br />CNI <br />0 <br />0 <br />5 Gallon <br />5 Gallon <br />X <br /># 3 <br />91 <br />CNI <br />CNI <br />0 <br />0 <br />5 Gallon <br />5 Gallon <br />X <br />Lockout Tagout Procedure Followed? (Y / N / NA) <br />Location fully operational before leaving site? (Y / N / NA) <br />Turbines, leak detectors and dispensers checked for leaks? (Y / N / NA) <br />Re Test: Yes // No <br />Test Company: <br />Sacramento Equipment Maintenance Company, Inc. <br />2533 Connie Drive <br />Sacramento, Ca 95815 <br />(916-925-2716)(916-925-2816 fax) <br />email: sacemc@rcip.com <br />Test Conducted by: <br />Gene Babineaux <br />Date and Time of Test: <br />09-16-05 @ 10:15 - 11:30 <br />