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]3t=ACON OIL CO. 1-513 <br />401 W. KETTLEMM LANE BEACON <br />LODI, CALIF. <br />u --i- C- 0 1 LA.) F- rr c- FCHECK LIST <br />€v» CK 7- k <br />Station# I - St 3 Tank # -3 Tank Size i-x,00p Product L&jot-EiqoEo Date-*mNWWQfi*-k <br />k-0 Q k Clheck off each step as it is completed. If completion of any of the steps reveals the reason for <br />exceeding the allowable variation it is not necessary to complete the remainder of the steps. <br />Step 1 Records reviewed/regauge tank <br />Step 2 New reconciliation performed <br />Step 3 Station physically inspected for evidence of leaks. <br />F-1 Check all skirts and dispensers for leaks. , <br />D Check all unions, fitting, 4 filter. Also check for strong gasoline <br />odor 1-2 minutes after opening skirts. <br />F-1 Check all hoses and nozzles for leaks. <br />F-1 Check all totalizers, meters, impact valves for tampering. <br />Step 4 Notify Zone Manager if there is any evidence of leak or if the <br />above steps have not revealed the reason for exceeding the <br />allowable variation. <br />TO BE PERFORMED BY ZONE MANAGER <br />Step 5 <br />Step 6 <br />Step 7 <br />Step 8 <br />Records reviewed and audit performed. <br />Calibration on dispenser meters checked. <br />Date/time: I :SQ A r" <br />Performed by:21)o &s &.s A 71 <br />Date/time: <br />Performed by: <br />Date/time: <br />Performed by: <br />JUL 0 9 1992 <br />ENVIRONMENTAL HEALTh <br />I/ VI <br />Date/time: <br />Performed by: <br />Date/time: <br />Performed by: <br />Date/time: <br />Performed by: <br />TO BE PERFORMED BY HANFORD OFFICE <br />Date/tiv;,&. <br />Hydrostatic Pressure Test performed. <br />Precision Tank Test performed. <br />Describe briefly the reason the allowable variation was exceeded. <br />I hereby certify this to be a true and accurate report. <br />Performed by: <br />Date/time: <br />Performed by: <br />Signature %,- Y V Date -I- SR- 9.-), <br />30-734 <br />