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ov ..i <br /> Work <br /> Service 680 QuInn Ave nueI a 1 <br /> Cmftstoms, <br /> Station San Jose,Ca 95112 <br /> (408)971.2445 Fax(406)971 35 <br /> Inca California State License No.485184 <br /> SENSOR COMPLIANCE CHECKLIST/QUESIIONAIRE <br /> Brand Name Chev Station#: 98264 Daterrime: 217/12 6:15a <br /> Address: 3775 Tracy Blvd Q PO/Release#: <br /> C recy, 55SI Ref.#: <br /> System Make/Model: Technician: ryan un n <br /> Cate o : MonlWring Component: Sensor-PLLD Failure: Alarm-Annual Teat;Fall <br /> Product: Note: Action: <br /> CALL CLOSURE <br /> ❑ Area Maintenance Chevron/SolvOne <br /> ❑ Shell(Vecder Root Monitor) Conoco/Solvone <br /> ❑ VeederRWtPhone ❑ Misa <br /> Prior To Leaving Site—Please Answer Questions Below <br /> 7''c, <br /> Ts the Sensor located at Lowest Point in the UDC or Sum ? <br /> is the Tube located at the Lowest Point in the UDC or Sum ? <br /> Is the Sensor Sealed with correct Pin and Seal? <br /> Is the Sump Lid in Good condition?If not,did you document repairs <br /> needed? <br /> Did you Clean around Sump Ring.Install bolts &Check O ring? <br /> f Did you take Digital Pictures with time stamp capturing everything at <br /> bottom of stamp including the tag and sea)? <br /> Did you Document precisely where problem occured and what was done <br /> to correct it? Were you specific and accurate? <br /> Upon Arrival did you Print alarm info indicating Alarm details? <br /> Upon Departure did you Print alarm info showing the Alarms are now <br /> clear and attach printouts to the paperwork? <br /> Compliance Dept(internal): Did you download digital pictures onto <br /> the correct job in DLo ? <br /> Compliance* ept(internal): Did you verify job matches work <br /> performed an5lce corrections if needed? <br /> C.encral Notes/Unusual Conditions: ,r <br /> Service Station Systema IncJAble Maintenance Inc. Able Maintenance IneJService Station Systems Inc. <br /> 55 Quinta Ct.,Suite A 3224 Regional Pkwy <br /> Sacramento,CA 95823 Santn Rosa, CA 95403 <br /> LEAVE"GOLD"COPY Of This Form At the Station Site <br /> £T/b'd 6T8£2-2-8998T:01 L0£S2£8602T dols )oral .nodal-Woad 8b:UT £102-9T-aIUW <br />