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T-172'(&w.12-15) <br /> Vessel Monthly "In-Service" Inspection <br /> Storage Tank or Pressure <br /> MONT ❑ GOM H/YYE2AR Region Western ❑Canada <br /> o 2..3 <br /> q TANK LOCATION NOTIFICATIONS REQUIRED ❑YES ❑NO <br /> Stockton–Y164 <br /> NOTIFICATIONS ARE REQUIRED FOR ALL FINDINGS.SAP NOTIFICATION IN <br /> TO BE INCLUDED IN NOTES BELOW. <br /> INSPECTION Instructions: Check box if an unreported item is detected.Definitions located at bottom of table. <br /> Hi and HI-HI Tank Gauge <br /> Date Inspector <br /> Tank Number Shell Chime Roof Appurtenances Foundation Device Verification <br /> l9�23 tr.�CL++ 12 O Dl - 6� <br /> 13 G `- <br /> 3 30 2-3 d3 eller)-% <br /> !7 14 6 6[t CS <br /> 16 p l <br /> 17 <br /> 3 36 z e/L+F,S 18 G <br /> L KS 19 <br /> 3/302,3 w1+ S14 4 20 G(C. 0 /L <br /> -7/1 t,..[,[ L-"'1 21 0! <br /> Z r" n 24 b O nla o nla p n/a nla <br /> /23 �t.�.( L 99 O[ <br /> Air receiver ID OL110-LF87953 p n/a nla ( nla nla <br /> ?1!i 12,3 6 ti'--a L.- nla nla <br /> /!! &,c,,,(4 Air receiver ID A043907-4 b nla nla p p t <br /> S fdzz' -a or-411 L.v Air receiver ID A003503-89 b n/a nla 0 1 Ok n/a nla <br /> Notes: ALL FINDINGS AM TM~ENTERED,IN 19AP AS Pfd NOTIFICATIMS,NGTIFICATION NUM Ei��k1QUI—5E-.Lt$TEO R-E(L5 - <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> ECanadian <br /> y the tank, attachments and surrounding areas for unreported conditions, or perform gauging and alarm checks. <br /> ures maybe performed by the same individual. <br /> sites, note that routing, distribution and control room/control center coordination will be as per local or GTOM procedure. <br /> i <br /> PAGE 1 OF 2 <br /> DISTRIBUTION: Original sent to 11SR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> i <br /> r <br />