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I <br />Customer <br />Job Location Work Order 78952 <br />Customer Company <br />Cheaper Store Contact John Johnson <br />P.O. Bog 886 <br />15 West Grantline Site No. 037 <br />Benicia, CA 94510 <br />Tracy, CA 95376 <br />707-745-6691 <br />209-833-%19 <br />Brand Name: Emco Wheaton Leak Sensor 11 <br />Model Number: Q-104 <br />Serial Number: 1100907-C12 <br />1) Monitor operating properly at this time? _,4C� Yes ® No <br />2) Checked all sump floats for positive product shut off <br />& found operation properly? ®Yes No N/A <br />3) Checked Pressure Line leak Detection <br />@ gpm for positive product shut down <br />& found operating properly? Yes ® No N/A <br />4) Comments: <br />-TANK INVETT <br />BrandName: <br />Modelub <br />Serial nr <br />1) Monitor operating properly at this time? .® Yes No <br />2) Paper read out available? If yes see attached. —Yes ®No N/A <br />3) Comments: <br />TANK ANNULAR SPACE <br />1) Check annular space between tanks for product/water? <br />Please indicate in inches if product/water is found (on yes lime). <br />Tank #1 Tank #2 Tank #3 Tank #4 <br />Reg/Unl Prem/Unl Super/Unl ase Oil <br />Yes <br />No X_ ,: 2 <br />2) Comments: c a <br />I19Jl9Si !; of 4. )VMS OX' <br />Technician: �, °�. —=--nest Date: <br />Performed by: Sacramento Equipment Maintenance Company, Inc. <br />2533Connie Drive <br />Sacramento, CA 95815 <br />916-925-2716 916-925-2816 FAX <br />