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SEP.. 13-2005(TUE) 14: 56 CGR5 FnLIFORNH (FRv)9'. 6 991 1177 P 017/021 <br /> • <br /> Tracer Research Corporation <br /> Site Information For Enhanced Leak Detection Sites <br /> FE1, Submit Completed Form With Each Job! <br /> Techniciari_M'�tt aJ -t- Yoh# T DU.,a Lf Dnte j L • Lq ,—"Lr <br /> She=Ortest- <br /> Pu (Ptntloct an waterc ble(6rWitthh,1000'of wcCl 7 ntrswblo aecondwy conwinrnant7 Regnlata y dirmdvo'/ New btg14114tian7 Fg orgeocr <br /> Ganemtot? Comultant rocorommdatlan7 adidj••��^•" <br /> MRA frMitIntna r Inn),: <br /> Z 1 Bm te_L.m TTCI (Pert pl . TK: (�PF'a;l) TK3 (P <br /> TK'l (Paxti� TY-5 ('aaa/Fail) T66 (Paes/F'a;n <br /> (Suction) rurbinc <br /> Y=Upe Pmbcs "-`�'�' -d� <br /> 14Ms of n I= <br /> TimkPit Ow <br /> p <br /> -CT=nd.Cove (Carteret ff <br /> (o ) <br /> (&cellent) (Good) (Phir) oo (other) <br /> List All Q=gonart TS- <br /> Tank (Single Wall) ubla <br /> . (Steal) 'bQ I (other) <br /> Lutes (Single Wall) ,oublc <br /> (Steel) ib (Fihctutneh) [other) <br /> V'entUacs (Double Wall) (Steel) (Fiber (other) <br /> VaporReeoveryV(Asgi <br /> (Doable Wall) (Steel) ibergim (other) <br /> VannrRecovery t) <br /> ttn'tn Cnrtslructinn� Scalae ro-htalc t (Dirt) (Retm6t-boltcd to riser at tack top) (Retrofit-bolted to m.'tnvt my) <br /> Spill Bucket.Plunily jvPO CEO, C-ep <br /> Overfill Protection pla Grl�a nr Lryl <br /> TankEills <br /> WatermS=p: YES C_N; Depth fromsurfhcc, <br /> Water in Lino trcacb: YES 43�R Depth from aurface; -M• . <br /> Water in mnk pit YES /'(OP Depth fmmstufbcc:. l <br /> LincLcakDercctom <br /> Fibernenc dascrinbpnt <br /> Cotnpositio <br /> Shape(draw plcdaa iFnwaeswyl: ,, <br /> Depth to top- <br /> Signature of site person verifying condition of situ at end'ofinatalktij/L <br />