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#2 <br />A <br />#3 <br />#4 <br />3) All debris, salety-cones, and magnetic signs nave oeen removeo rrom rne <br />work area. <br />4) All tanks and dispensers were restored to tnezr original stare. <br />The Location Representative agrees tnat the above items were witnessed and <br />completed following the completion of lank ano/or Line lusting. <br />Location Reprpse tabve/s Name: Lm RepSignature: " <br />A -Ail <br />&4 �<, /'J', <br />---- ------ loe <br />Unit Manager Name:Uam� <br />Chris <br />325 <br />TANKNOLO6Y - UNDEH6HUUNb LEAK DE/Ecl1uw Swim - `vn.zz/ rage zv <br />QUICK STOP vbuo ym'/o-1/nu4 - Jun /9, 1�x6. zv:zo <br />�A� F, EE �too ��FA" &I en k 4k» X FM Y LJ ENV" r4o��9 *,w <br />1. Does this station have bTA8in 11 vapor recovery/ �� <br />8alance System? iI <br />Vapor Asszst System! !�i <br />(NOTE: USE THE CUSTOMER'S TANK wunuER6 IN !Ha PULLuMw6 L15// <br />2. List tank no. for each type of lANK at this location: <br />STlP3/Single Wall - <br />STIP3/Double Wall - <br />FRp/Szngie wall - <br />FRP/Double Wall - <br />CARE SlEEL - <br />BARE STEEL INlEHNALLY LINED - <br />BARE STEEL IMPRESSED CURREm[ Cr - <br />BARE STEEL SACRIFICIAL AmuuE CP - <br />PERnA [*mn - <br />ACT 100 FlBERCLAD/Szngie wall --- <br />ACT <br />ACT 100 FIHERCLAU/Double wa1i - <br />other: <br />L-ist tank nos. for other - <br />