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MONTH/YEAR Region ❑Canada <br /> [3GOM estern <br /> TANK LOCATION NOTIFICATIONS REQUIRED ❑YES ❑NO <br /> Stockton—Y164 <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. Hi and HI-HI Tank Gauge <br /> Shell Chime Roof Appurtenances Foundation Device Verification ' <br /> Date Inspecttoor Tank Number t7/,- L7/",- <br /> h" a? V& <br /> th <br /> �, /� �� 0G� C l IhS <br /> / a 1K_ eeti <br /> 13 or <br /> 14 D J< ivQos �� /� o V� Z <br /> 16 U O �/i D 6c Qh C� LIl zc <br /> 17 Oc aw �� GK Ok Ok VCz ``=tom <br /> � 18 �,c� D!Z <br /> -Z"Ql-2 19 (j'� p,r� DK ©Y C <br /> 20 U d �,4 ©�G d 0� v� a^yStsech°Nte <br /> 4ti dlC and o0^tai Se'r <br /> q ca n <br /> 21 nla Ilia m�a ill�oon <br /> /r —Z 24 O to to a ^el <br /> nla Ilia G nla Ilia a, atla�tliSr <br /> 99 nla G nla ^sin sa <br /> 2�l—Z p� nla p� Ilia °RespOndle <br /> L <br /> Air. ID OL110-LF87953 0 Ilia nla , Ilia nla <br /> �`2 I Air receiver ID AO43907-4 Na -` aeaasgso at <br /> f/—Zpl <br /> 1 G nla <br /> — 2 / Air receiver ID A003503-89 OTIfICATIflN NUMBERS glit7ULD BE LISTED SEI O' <br /> v� ENTERED IN SAP AS IN NOTIFICATIONS.N ��-LOS <br /> Notes: ALL FINDING&A �� <br /> rO"Vo <br /> original sent to ISR Coordinator or entered by Designee <br /> DISTRIBUTION: 9 \ <br /> RETENTION: SAP <br /> attachments and surrounding areas far unrep <br /> orted conditions, or perform gauging and alarm checks. <br /> the tank, per local or GTOM procedure. <br /> Visually survey the same individual. <br /> Not all procedures maybe performed by <br /> For Canadian sites, note that routing, <br /> distribution and control room /control center coordination will be as PAGE 1 OF 2 <br /> Original sent to ISR Coordinator or entered by Designee <br /> DISTRIBUTION: SAP <br /> RETENTION: <br /> uogoadsu <br /> f whn <br />