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JAN-20-2010 13:11 FROM:CHOL/MFT 209 476 3096 TO:2094683433 P.3/4 <br /> DIESEL FUEL LINE VISUAL INSPECTION <br /> I <br /> Facilty: Kaiser Permanente Medical offices <br /> Location: 7373 West Lane , Stockton, CA. 95210 <br /> Visually Inspect above ground fuel line and fuel line in trenches. <br /> Month Date INSPECTED Y <br /> Name Signature <br /> JAN <br /> FEB <br /> A <br /> APR <br /> Y <br /> JUN <br /> JUL <br /> AUG <br /> SEP <br /> OCT <br /> OV <br /> DEC <br /> EHD Inspector: <br /> Above form will be used to document monthly the visual monitoring of <br /> all fuel lines above ground and in trenches. <br />