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Work Order: 2268237 <br /># 56048 <br />by A <br />WORK ACKNOWLEDGEMENT FORM 14 <br />I <br />E.MAINTENMCETICKETNO: 59 DATE, L"+eq <br />FACILITY NO. &AODRESS: Ct <br />VENDOR NAME & ADDRESS: <br />SERVICE REQUESTED-. <br />-STANMNE TiGHTNESS TEST U FACIUTY INSPECTION D ENVIRONMENTAL REPAIRS <br />_J VAPOR RECOVERY TEST _2SECONDARY CONTAINMENTTESTiNG :1 OTHER <br />-1 ALARM TYPE AS LISTED ON VEEDER-ROOT PAN EL <br />LOCATION OFALARM LjSUMP NO. U UDC/DISPENSER NO.-[:] ANNULAR TANK NO. <br />ALLALAnmg CLEARED E)Y UN <br />PLEASE PRINT LEGIBLY_ <br />Are all sensor(s) located at the lowest point? <br />J Y U N "W NA <br />Have all sump lids and dispenser panels been <br />secured and sealed? 'U Y U N Q NA <br />A onIV Y no sumps ordispensers were opened. <br />Chain attached to shearvalve? <br />UY UN"QmA <br />a ECS Notified of liquid found in <br />contain went sumps <br />Debris removed from UDL-.) <br />ZI Y UN NA <br />Vapor equipment repairs <br />documented In Repair Log? <br />Q :)N'aNA <br />ARRIVAL TIME �M DEPARTURE TIME <br />TOTAL HOURS (Ml <br />TECHNICIAN P111 <br />E <br />NAMEtF D M I El <br />TECH SIG <br />SIGNATUt9F DEALIFVMA <br />DISTRIBUTION: WHrrE - Irwaice cagy I CANARY - Site copy j PINK - Vendor oopy <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />://2_ <br />