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k <br />CUSTOMER <br />CUSTOMER COMPANY <br />P.O. BOX 886 <br />BENICIA, 94510 <br />800-924-3273 <br />JOB LOCATION <br />CHEAPER �'l <br />15 WEST GRANTLINE <br />TRACY, CA.'95376' <br />209-835-9928 <br />WORK ORDER <br />DATE: <br />CONTACT:. ,r r <br />EUSTUMER <br />ORDER: <br />STATMN <br />NO: <br />---------- ---------------------------------------------------------------------------------- <br />LEAK MONITOR INSPECTION <br />BRAND NAME: EMCO WHEATON LEAK SENSOR II <br />MODEL NO. :U-104 <br />SERIAL NG.: II -Cl-2 <br />1) MONITOR OPERATING PROPERLY AT THIS TIME? YES NO <br />YES NO X N/A <br />2) CHECKED ALL SUMP FLOATS FOR POSITIVE PRODUCT SHUT OFF? — _ <br />ii rnMMFMTQ- <br />--------------------------------------------------------------------------------------------- <br />IN-TANK INVENTORY MONITOR <br />BRAND NAME: N/A <br />MODEL NO.: <br />SERIAL NO.: <br />1) MONITOR OPERATING PROPERLY AT THIS TIME? YES NO <br />2) PAPER READ OUT AVAILABLE? YES, SEE ATTACH NO <br />3) COMMENTS: <br />------------------ <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 LINE) <br />TANK til TANK tit TANK #3 TANK ii4 <br />REG/UNL PREM/UNL SUPER/UNL WASTE OIL <br />NOS <br />2) COMMENTS: <br />----------------------------------------------------------------------------------------- <br />PERFORMED BY TECHNICIAN: l.CE F-EEVE< <br />SACRAMENTO EQUIPMENT MAINTENANCE C. <br />2533 CONNIE DRIVE - SACRAMENTO - CA. - 95815 <br />916-925-2716 <br />ar\cu\cc\f\lm <br />