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5) Out of Service bags on dispenser nozzies. <br />' <br />6) Padlocks are on dispenser nozzles. <br />7) Check valve is <br />8) Bayonet connector is disconnected `rom pump. <br />9) All safety procedures have been oiscusseo wzzn aii station oersonnei. /ne <br />Location Kepresentatzve and lanknoiogy Unit Manager nave eacn con`irmeo <br />that the lag and Lockout procedures are in e``ect. <br />The Location Representative agrees that the aoove items were explained <br />and completed prior to the start of lank and/or Line |esting. <br />Location Representative's Name: Loc. Rep. Signature: uom: <br />Unit Manager Name: <br />Chris <br />325 <br />mou Mgr. uqoatme; <br />TANKNOLOGY <br />- UNDERGROUND LEAK DEWC11Um <br />M6|EM - <br />`V0.ZW <br />rage � <br />QUICK STOP <br />"n 0. <br />its. Izu <br />Customer: <br />Sue m <br />bervue u/oe,m <br />Ust man <br />Address: <br />uty/Sn <br />up/ <br />Complete <br />this report only when you are <br />roio or <br />ooserve an unusuai <br />znczoent <br />occuring <br />at a client's size & TAmKNULUu, <br />c01110 <br />oe rouno at rauit. <br />* reportable <br />incident <br />might be: a manager/owner complaint, <br />a <br />/uei spzll, non-repazraole <br />equipment <br />or damage found on arrival, <br />erc. <br />DETAILS: <br />