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W.O.# NW1-2341376 Cust Ref# : 393534*
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<br /> Soculo 11(wioe Willi"l rul nl;'�nivli,d'Lnl1a rain nylon 1109 I I e80ura It)a CIlr,ull I,InnYur(s1 ' ff"m the t3TP(et
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<br /> 1 verify LOTO Is mplala t1Y t—mny
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<br /> BION IN
<br /> General Safety Checks: ;,(t �UfAll site personnel have boron Inrnnnnci •
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<br /> Fuel delivery has boon Infounud
<br /> Is a fuel delivery due today'! / �, t vU
<br /> LOTO procedures have boon dlscusnarl and n(Irnntl 61 have 1/Gietled ori etaerer✓a town vnth an
<br /> Work areas barricaded to protocl workorn,nU+fl publlr; rnniwinL�r ryJ@ k ” ff/iqt ar)Pllcable
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<br /> ✓ POST TE i I EAl/RFS/Cheek ✓n!�rflJir'rrJ
<br /> 1. 1 1 Remove all"Lockout/Tagout"dOvlc0s• llrl,,r t Valve Test Ports under d)sPrzn%efs
<br /> 2. 1 1 Run all pumps and verify there are no leaks: (wirtionel Elements&Relief Screws
<br /> I I Leak Detector Throads on STP's
<br /> 3. 1 1 Install lead wire seal on all test plugs&leak a orlon Ih�t Imre sLeg ced•
<br /> Count LD threads: L1 AATG probes,sensors,&caps
<br /> 4. ro( Check following components operational: Cathodic protection operational
<br /> 1 1 Bail floats,dry breaks&caps X Dispensers&POS operational
<br /> of Containment sumps are dry Drop tubes,fill adapters&caps
<br /> Dispenser panels are replaced f/Manhole covers and sump lids
<br /> 4(f Leak detectors&vent tubes Shear valves are open
<br /> XvIonitoring system is operational Spill containers&drain valves
<br /> i 1 Siphon lines and manifold valves Vents(not Capped,plugged or isolated)
<br /> r 1 STP fittings and bayonet ronnectors
<br /> 5• Remove barricades. j 1/!A�
<br /> SIGN OUT&O orator Verlflcatlon of Work OV
<br /> general Safety Checks: ess�v rsl'y�. e
<br /> lork area has been left tidy&safe. a rt
<br /> ing isolation.
<br /> ite staff are aware of work status including any remain
<br /> hanges to equipment are documented and communicaf0d.
<br /> I incidents,near incidents,and unsafe situations reported. `
<br /> a epresentative Comments
<br /> Qi"f anknpkrgy Inc.,2JN b.All Amita Reserved.
<br /> COMPANYCONFIDEN"1 IAL - (111-1-ine[kxiun�gCatNrcdS sum
<br /> •nted c les of this do¢umaa ari ty>rorltrallcd. " current vgaturl i v;rv;rilahk in Ilk"fzrdulolr
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