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W.O.# NW1-2353607 Cust Ref# : COCO-15357303 <br /> Eanknotogy Inc. <br /> i 1t1W V Id„I'oc I:�;<nrsaxA}.ti,Inr yral.lu.rii7,I?L iY7$'� IwHI]trhi�Yplil 1'IsiiGv lµ17-a4-A <br /> J0 CLF.AK11fYCE F[1litvl& tier:F <br /> S17 E IAF E Cl' Clift <br /> 'LIS <br /> OVF He t.u4:�m5'L18 <br /> nig.------rrw+ �p Z�Z4+..%r #ol woo <br /> ln� X35 u 6--7- <br /> ,i.xr I��. rp, ,In! tura ma ern.,m,rlhr e,ra <br /> Ir},7--z- <br /> Ji,0 MV <br /> r w -- <br /> a.I. .,�+ d i/! $4� ���SI/� q4�{ �'} iJT �� S4-f- <br /> P $t/ri►s <br /> m �. -,Mw� <br /> d eYuG�mertl nNA[ .CGITVnAt,[x h Z �d 0. <br /> 1�• '+/4 ri Gni Jr• c �p SC�Y�� <br /> PPE.PERSONAL-PROTECTIVE E4 PlHEJVT RFQU1REf1 Check ✓ftenrs used --ed or mark it not$ lFcabfa <br /> Safely Vast 5 Sufery G]eas Fs 0< Glnvea -tE2411 h:y Plutt,:,1L:f <br /> Steel Tae Boots Splash Gaggles Hard HRI Dlr:er <br /> / RE-TEST PROCEDURES Check ✓each Ftem coni let©d or mark — 1f 1101 a lira bin) <br /> 1 �^ pi>:cerss saral:y pre�edurea with sIle p2rsonnel. lyes res[hd5pllal-_ J <br /> 2 Prior to rues derlverres the UST syslem rnudr be placed hack Into working order <br /> 3 JV Secure aril]re work arca with barricades lconas.Ila g9.and extension gars,caution tape,pannant flags or oume pertmps¢r guardl <br /> e. J1 Prace fire wainguishefs and'No Srnuking'srgn5iri the work area. <br /> 5 Ile Impramertt 1 nckauUTagoul per API 1W(when a=mring peoduct piping during tasks) <br /> Secure riazzl+ss with"Out of Servica'papa acrd nylon lies O- Secure lhn circud breakecfsj wdlh Iackout devrrm and tag; <br /> Crane iratl valves or check valves on product plping- L Dscannml Aecldral"bayonet'connector from the STP%) <br /> I ,All appficahler er{ulpment disabled during fast(g) Verify LOTO Is complete by trying Iv to pumps,/ <br /> SIGN IN Lett Tmhnl=I=Nwt-o est n C E r <br /> rdelivery <br /> afety Checks: <br /> rrnnel have been InfomleU Y- <br /> ry has need informed. 51fz eGreran,arrc hiatus 'lnut iy7ra lest <br /> rivery due today? �} _dures have teen discusses and agreed barricaded to proleO workers.star}S publ,c <br /> I have discussed job clearanGs rn nivan <br /> f <br /> POST-TEST PROCEDURES(Check -,"each item completed or mark - if not aallaficahlel <br /> 1. Remove all'Lockout/Tagoul"devices- <br /> 2. Run all pumps and verify there are no leaks- Impact Valve Test Pons under dispensers <br /> Leak DeleCtnr Threads on STP's Functional Elements&Relief Screws <br /> 3 Install lead wire seal on all test plugs&leak detectors that were serviced. <br /> Count LD lhreads: L1 L2_ L3 LR L5_ LB <br /> d /L Check following components operational: ATG probes.sensors,&caps <br /> Ball floats. dry breaks&caps Cathodic protection operational <br /> Containment sumps are dry X Dispensers&POS operational <br /> Ir Dispenser panels are replaced Drop tubes.fill adapters&caps <br /> J,Leak detectors&vent lubes Manhole covers and sump lids <br /> 4'Monitoring system is operational f Shear valves are open <br /> Siphon lines and manifold valves Spill containers&drain valves <br /> STP fittings and bayonet connectors Vents(not capped,plugged or i fated) <br /> 5. Id Remove barricades <br /> $I[iIV DiJT 3 Q rotor VariAeation of Work tOVF L vid 7,ice eisn Manu rid 1I pan IgILLMur•. <br /> Genstar Safaty Checks: i a <br /> Wark artta has been left tidy d Safe. q� <br /> Sita staff are aware of work status including any remaining tsolat air + �s{esenrsuvu Namc S tv Rrpr tsnntahve 5iytrartue <br /> Changes to egitrprrntnf are documenteld and crxnmun'cated yy� <br /> All rncrdents.near incidents,and unsafe situations reported. t 41 LjZLLL �k n� <br /> r <br /> Repceterill CowirrieMli. <br /> COM PAN V coNF l DEgrIA1, €)'1-w ilc nalugy lac.,'111'6,All k ightc Reacrvcd <br /> !rl[cJ 4tl !C5 Of III is titocuit]atil itrc unt:orllrotlL1d. Ills C3{IT+:]ll tiCrtifurl I5 Lt111I1rIYIt Ili tttc I r1a1iI1L4Ie .Uo-'..irk:Documrlit Ci3nUn1 <br />