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T-172(Rev.12-15) <br /> Storage Tank or Pressure Vessel Monthly "In-Service" Inspection <br /> MONTHIYEAR Region <br /> 12122 - ❑GOM /estern ❑Canada <br /> TANK LOCATION NOTIFICATIONS REQUIRED ❑YES ❑NO <br /> Stockton-Y194 <br /> NOTIFICATIONS ARE REQUIRED FOR ALL FINDINGS.SAP NOTIFICATION NUMBERS 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 Tank Number Shell Chime Roof Appurtenances Foundation Device Verification <br /> 12-N-22 12 PK. OA44� C <br /> 13 <br /> -1 _Z 14 <br /> 16 <br /> 1� dr O' <br /> _ 18 K <br /> 2 19 p 4n <br /> 20 0 I<- <br /> 21 <br /> t21 of <br /> 12^t 2 Z 24 Oft n1a nla <br /> 99 nla <br /> -4-22- nIa nla p/ nia nia <br /> /Z-o!^ Air receiver ID OL110-LF87953 / nfa nla <br /> Air receiver ID A043907-4 C nla nla p b <br /> nla nla G O/C nla nia <br /> l2_al^22- Air receiver ID A003503-8617-1a/k <br /> Nates: :-FjNDlRG9 ARE TO RE eR�I3 IN SAP AS i$l luq 1�ifl-CATI�lt+t �•NOTIFICATII;N NUMBS-94�tkffJ4iG.0 Or-L15TMCI�#�S�t- <br /> �� (-2OS <br /> i <br /> DISTRIBUTION: Original sent to ISR Coordinator or entered by Designee <br /> RETENTION: SAP <br /> Visually survey the tank, attachments and surrounding areas for unreported conditions, or perform gauging and alarm checks. <br /> F <br /> y v <br /> all procedures maybe performed by the same individual. <br /> Canadian sites, note that routing, distribution and control room /control center coordination will be as per local or GTOM procedure. <br /> PAGE 1 OF 2 <br /> DISTRIBUTION: Original sent to )GR Coordinator or entered by Designee <br /> RETENTION: SAP <br />