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Chevron - Northern California <br /> Stage It Vapor Recovery and Drop T11he Quality ASS111-m1cc <br /> Pre-Test lnspectLi <br /> I have inspected 111 sta<,e 11 vapor recovery (VR) pipint prier to TanknoloL.y pci-rolming 'Iny <br /> %vork at. Station ii <br /> C✓Check box if all VR piping is installed properly and secured. <br /> ❑ Check box if any VR piping is not installed correctly prior to Tanknology perfor'nlim-, ;trey work. <br /> Please nate anv defects, Such SIS tlniorls or hoses not secured7 hose. clamps 1111S-Sing' etc. <br /> I have; inspected all drop tutees. , <br /> (r Check box if l'anknology has labeled the drill] tl btS to 11113 6 theCC)I'1'CtiI C�ilClli?S` tank. <br /> Check box if any drop tube iS darlla,l,ed or missing, any parts priom- to.' 'Fanknoll.)",`' l)C;'1()I'I1?ltlt' illly <br /> work. Please note anv dan malt~ (}T- rmssim p',)t't5, StlCll as it l)rokcn nappCr v-')l 'e. tmsslllt? "trlkcr <br /> plate, etc. <br /> Signature __. Date �Cf" <br /> Post Test Ins ection <br /> t have inspected all VR piping and drop tubes that -l'anknolo.,Yy has removed and attest ti1£1t the <br /> VR and drop tubes on this location have been properk, reinstalled and secured to their ori!;;ir1aE <br /> state. Tanknology will not be responsible for any maintenance tit' ditnlc C rCS1.11601-1 f'rc)m 'tmpr0pe1- <br /> installation of the VR or drop tubes. <br /> 01 have inspected the VR and drop tutees and noticed the following defects: <br /> Signator Ct- Date__ •-------- �._---- <br /> if the VR piping was disconnected or the drop lubes were damaged prior to Tanknology's arrival <br /> and are not able to be reinstalled, Tanknology has reported it to the following employee: <br /> Names., Date <br /> TANKNOLOGY CORPORATION INTERNATIONAL <br /> WOOwn Re+ginn • -468RO R C.nunn/ Nrifnr Drive. Sults F - Tenulcula. CA 02591 . (�i09)308,•1210 • FAX OOS)308.1231 <br />