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�;TAXK-Tff • <br />Location: MORE FOR LESS <br />15 W. GRANT LINE EAST <br />TRACY, CA 95376 <br />Facility #: 7 <br />BILL TO: MORE FOR LESS <br />Contact: BOB MATTHEWS <br />i Site Diagram <br />Work Order <br />Date <br />01032202 <br />f MAR. 22/01 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Annual Inspection <br />I X <br />Retest <br />Stage II Riser 0 <br />Internal Inspection <br />Post Construction <br />Premium = <br />PREM <br />APPL. # GDF # <br />Tank Monitoring Well OM <br />= Dispenser <br />REG = Regular <br />Waste Oil = <br />WSTE <br />Stage II Riser 0 <br />❑T Turbine <br />PLUS = Plus <br />Premium = <br />PREM <br />CA: 90-1052 <br />NV: UTT-1083 <br />OR: 17122 <br />SUP =Super <br />Supreme = <br />SPRM <br />MPD Dispenser Fill O <br />00 Vents <br />DISL = Diesel <br />Heating Oil= <br />FUEL <br />15 W. GRANT LINE EAST <br />SUP PLUS REG SUP PLUS REG SUP PLUS REG SUP PLUS REG <br />a.w <br />J <br />U) M w <br />J <br />0 O <br />W <br />F <br />U) <br />3 <br />vTO <br />STORE <br />O <br />O <br />Lockout Tagout Procedure Followed? (Y/N) <br />Y <br />Location fully operational before leaving site? (YIN) <br />Y <br />Turbines, leak detectors and dispensers checked for leaks? (Y/N) <br />N/A <br />Station Attendant present for final inspection? (Y/N) If Yes - - Name: <br />N/A <br />Purchase Order <br />Contract # <br />Time of test <br />Technician <br />Signature <br />License <br />12:00 PM <br />PHIL ROOMS <br />CA: 90-1052 <br />NV: UTT-1083 <br />OR: 17122 <br />Pry. (707)446-6151 TANK-TEK ENVIRONMENTAL CORPORATION WWW.TANK-TEK.COM <br />FAx (707) 446 - 6192 607 ELMIRA ROAD, PMB 324, VACAVILLE, CA 95687 TANK-TEKC-)CWNET.COM <br />