COMPLIANCE INFO_1986-2003 - Laserfiche WebLink

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Customer Job Location ork Order 97434 Pacific Gas & Electric Company ILcy Maintenance Station ontact Phillip Steiner California Transmission Division Tracy Disrict MTC Site No. pge097 Atientign: Phillip Steiner 24081 Patterson Pass Road 375 N. Wiget Lane Tracy CA 95376 Walnut Creek CA 94598 510-5134845 - 209-836-5402 fax 925-974-4075 - 925-974-4232 fax LEAK MONITOR INSPECTION 3rand Name: Leak Alert Model Number: LA-04 ierial Number: 82634 l) Monitor system operating properly at this time? XL Yes — No ?) Checked all sump floats for positive product shut off & found operation properly? — Yes — No 3__ N/A ;) Checked Pressure Line leak Detection gpm for positive product shut down & found operating properly? _ Yes — No X_ N/A t) Checked tank annular space probes&found operating properly? 2_ Qty X__ Yes — No _ N/A i) Checked piping sump probes& found operating properly? Z Qty 3` Yes _ No _ N/A i) Checked dispenser pan nrnbe_-!devices & found operating properly? _ Qty _ yes _ No JL N/A 1) Checked overfill protection system(type: flapper,ball, alarm)& found operating properly? Z Qty X_ Yes _ No _ N/A t) Checked overspill containment device&found operating properly? 2_ Qty X_ Yes _ No _ N/A t) Comments: IN-TANK INVENTORY MONITOR 3rand Name: N/A 4odel Number: lerial Number: Monitor operating properly at this time? — Yes — No Paper read out available? If yes see attached. — Yes — No — N/A Comments: IANK R SPACE Check annular space between tanks for product/water? Please indicate in inches if product/water is found(on yes line). Tank#1 Tank#2 Yes No X _ x _ Comments: The following station personnel was trained on the proper operation of the above equipment: Please print name: �chnician: 1.eE�Jos Test Date: u :rfnrmed by: Sacramento Equipment Maintenance Company,Inc. 2533 Connie Drive Sacramento,CA 95815 916-925-2716 916-925-2816 FAX