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W.O.# NW1-2342961 Cust Ref# : 393534 <br /> (mow 1•"„Iry. I«. <br /> iLA- <br /> X 1 1 1 ♦\1 1 1\ t 11 t r h 1 i'•1 r t\► - <br /> t <br /> �\d'rlr�— to all <br /> IM,CA4e C71`1 <br /> t e.�ln: s�ar If yia►w.wwf t.e•1 b 1 I r.,l ..r.l`J d w I`LAL PJ IR J <br /> .1� �Meh�..« .� vaAty�Ltps•o, IC. ... r,.w.y«..ti..,err <br /> MOW t.n,t\w. .lyn.h r rw's IM <br /> A (1..rrw e.A1y txta.*res..\tn�M parrertrtN Naat�al htrerylar <br /> Ptwvr M htwl Aesvertse Ilte Utt 1 slrelsln mull Ea paasd NeaA Iltla wet\.np,wMr <br /> .z y 57a vs�rNaw watt*area w.th Mrati•daa(mnaa.flop,aid artbnwon two —010 n taps t Mtn. 7•sir vw"`7+10`4' <br /> • t11 PMea Me aNNpinatten aid`No amak <br /> kip'etprq to Mie warp arae <br /> ftV*Ment LoMottitlaportt rt«API 1046(when sec""product I i; g oaring kill") <br /> • Seaton MAO"with"Out of ti.rvlae'baps NW nylon ran I I @00UM Mie elrw/tr..*.r!sl*dP%rlbaal 4WAC"w1 low <br /> C%l s ban vatvee a chock vrttws on prndttct IMprnO plerrvvw t elw Irks r,ry/.t'•/tnrrarXit AOm law*'TV*a. <br /> All aryVn-alNe a.)ugxnonl JinnhlMt dunrtp line(+l Verity LO TO to crttnpbst.Vy trying b tl/iMeae pkgw*e <br /> SnMty Cha.-1,w I l <br /> .. ., <br /> 1,101 havrr l,"n Inhtnned <br /> .. .. . '•..1.baolt llikVinad „` //\ I ..Nls:t ++\\..�i�--!!�.«�.r„« - - +-•� <br /> .fur today? N ffJ Q <br /> .. .'41vo boon drscusalml and agrr•m) G.r'S�'a <br /> 1', •.. :.. ..,.rd M pnw <br /> ttoct nrhaff ars,std public, t hive dlH:retNN) ob r;lasruxw farm <br /> POST-TEST PROCEDURES(Chock ✓tach item completed or mark — N not R09111carbEal <br /> 1. ti<, ,eve all"Lockout/Tegout"devices. <br /> Ru,l all pumps and verity there are no leaks: Impact Valve Test Ports under dispensers <br /> Leak Detector Threads on 5TP's Functional Elements&Relief Screws <br /> Install lead wire seal on all test plugs&leak detectors that were serviced. <br /> Count LD threads: L1_ L2 L3 L4 L5 L6 <br /> Check following components operational ATG probes,sensors,&caps <br /> Bell floats,dry breaks&caps Cathodic protection operational <br /> Containment sumps ere dry i Dispensers&POS operational <br /> Dispenser panels are replaced I Drop tubes,fill adapters&caps ' <br /> Leak detectors&vent tubes i! Manhole covers and sump lids <br /> X Monitoring systen is operational 1 1 Shear valves are open <br /> t Siphon lines and manifold valvos �k Spill containers&drain valves <br /> STP fittings and bayonet connllctor`, 1 1 Vents(not capped,plugged or isolated) <br /> Remove barricades. <br /> -SIGN OUT&O rater Verification of work(OVf) ar, nit,an oma TwJVWAV7 <br /> General Safety Checks: I I I p <br /> 1Norrf area has been left tidy&safe. , 1 '�J 1 VC y <br /> Site staffare aware of work status Includirn i.n iy (-i r m tint(Itu)18tlon, "add t'rTo Heraaerilaii w" erne ne r, eea• i <br /> Changes equipment aro documented:u u I��n un n n u�.ilr�I <br /> All ltxidants,neer lrtddents,and unsntro r;lu.in,in�i, l,q lr I 1 N�1I IO 1) <br /> SIM J— <br /> WA.\1 CONJIHWIAL 01anknokgyIm.,2019,All Kiov.Rt-,,crve <br /> hyrintetf a\talcs orchis document arc'unronrlollol. 'Ilie turn nt vosion c1:rv:li1;llr1c in lire I anknology On-Line Uoc:umcm Corw(A Sy <br /> Midi <br /> Ovf RECEIVED BY EHD: <br /> 7/27/2021 <br /> (received via Crompco Vault Portal) <br />