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� <br /> ^ <br /> Cus�oma� hie SPvice 0myh ' <br /> CHEVRON 93232 174706 ' <br /> Audrpso City,'y� hp <br /> 8660 LOWER SACRAMENTO STOCKTON, CA 95210- <br /> FT-FQ?F —TERSE Y M 1?03 R7��}��� <br /> The following items must be signed for prior to starting tank and/or <br /> line testing at site: <br /> 1 ) The location representative usderstands that PRIOR to FUEL D72pS the Unit <br /> Manager must stop testi7, Ern Fia�o the ccmple^.e sta7ion �ack into working <br /> order . <br /> 2) The location t7at tne pumps, dispersers and <br /> Electrical supply most stay 0sab7ey Ves^� . <br /> ^ <br /> 3) All associated power hreakers �ave oee: turned o; .` fcr tcsting . <br /> 4) Magnetic signs have been placeo on power breaxer boxes. <br /> 5) Out of Service bags are on dispenser nozzles. <br /> 6) Padlocks are on dispenser nozzles, <br /> ' 7) Check valve is closed . <br /> 8) Bayonet connector is disconnectec from pump . <br /> 9) All safety procedures have been discussed with all station personnel . The <br /> Location Representative and 7anknclogy Unit Manager have each confirmed <br /> that the Tag and Lockout procedures are in effect . <br /> The Location Representative agrees that the above items were explained <br /> and completed prior to the start of Tank and/or Line Testing . <br /> Lmatinn kepresentative/s Kame/ in, 14. S Satel <br /> agy OWNS <br /> Unit Manager Namel At Mgr, Signah/e; Data <br /> PATRICK PFRANG <br /> � <br /> 188 <br /> . <br /> ' <br /> | <br />