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HomeMy WebLinkAboutVacuum Box TestY HANKAL CONST 9077576088 ATTAC> MMN'T PROCEDURE GVB-001 VACUUM BOX TEST CERTIFICATION / ORDER NO. CUSTOMER ,a PROCDURE NO. IJ La TANK NO. The seams checked below for the tank or vessel were tested on the da REQUIRED �S TTOM DATE S O? BY: , 4@64'DATE BY: SHF& DATE 9v BY: DATE O BY: NO.013,REPAIRS MADE: BOTTOM ROOF SHELL_- DECK WEREAN;;,LEASF0UND: YES NO X WERE ALL LE,-1Xs REPAIRED, RETESTED & PASSED YES NO THE RESULTS OF THETESTS WERE: SATIFACTOR . UNSATISFACTORY IF UNSATISFACTORY DESRIBE CORRECTIVE ACTION REQUIRED AND ADDITION' AL RETESTING REQUIR D: DATE I31Vff hNSPECTOR DATE: _ee, — zet - 0 7 CUSTO1v1ER/AGENTlENGI1W,,ER WITNESS ve— (IF PRESENT OR REQUIRED) p:19 HANKAL CONST 9077576088 ATTA C;3 1ENT PROCEDURE GVB-001 ��- VACUUM BOY TEST CERTIFICATION ORDER NO, 1 CUSTOMER. PROCDURE NO. TANIC NO. ,5.3 cl The seams checked below for the tans or vessel were tested on the following dates, k_ REQUIRED f,2 (sBOTTOM DATE (ca%v /� BY: DATE BY:� _ SHELLDATE BY: DATE (:p / 7 ' BY: %Z{ NO. OF'REPAIRS i12ADE: BOTTOLM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO / WERE ALL LEAKS REPAIRED, RETESTED &. PASSED YES N'O THE RESULTS OF THE TESTS WERE; SATIFACTORY UNSATISFAC-- Y IF UNSATISFACTORY DESRTBE CORRECTIVE ACTION REQLT ED AND ADDITIONAL RETESTING REQUIRED-. Bt%Tf INSPECTOR T.G: rc -' 2 4 - a � CUSTO�ilrR/AGE?VTILNGN.1 F_l ,ITX ZS3 V t.- (IF PRESENT OR.RrQUIItb Patti = .,i p.1 0 HANKAI CONST 9077576088 p.20 ATTACIINI INT PROCEDURE GVB-001 VACUUM BOY TEST CERTIFICATION ORDER NO. CUSTOMER Edate � PROCDURE NO. TANK NO. �- 3 f�S oThe seams checked beIow for tl a tank or vessel wea-o tested on the fo REQUIRED BOTTOM DATE L S 1O'7 BY: t �Z F DATE BY: SHELLDATEa7 By. 8 r DATE BY: NO. OF REPA RS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO }� WERE ALL LT"x kKS REPAIRED, .RETESTED 8i PASSED YES NO THE RESULTS OF THE TESTS WMT1- SrITTFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBF_ CORRECTIVE ACTION REQUMD AND ADDITIONAL RETESTING REQUIRED: DATT: 1WTr 1N -PS EC-�rOR R iU[w� DATE: CUSTOXIER/AGLNT/LNGIN.F.,ER WITNESS (r L (Ii: PRESENT OR ItI;QUTItF_i3) t=tlit'tic� hair?•??•q: Ilrri.Qun A%q• 4 HANKAL CONST 9077576088 p.5 ATTACHMENT PROCEDURE GVB-04i 'VACUUM 1301C TEST CERTIFICATION ORDER NO,¢—?� CUSTOMER 11, PROCDURE NO. JL �� TA IC NO. Gt " 33 �Q�s The seams checked below for the tank or vessel were tested on the foliowin ales. REQUIRED BOTTOM DATE A 6 b 7 By., /.Z .5W4$Gg + DATE BY: . SHELL DATE ii /,q7 BY: �-- C-1041&k— DATE o 7 BY:- N O. OF REPAIRS ,MADE: BOTTOM ROOF SEELL DECK. WERE ANY LEAKS I<CU`ID: YES NO WERE ALL LEAKS REPAIRED, RETESTED & PASS M- YES NO THE RESULTS OF TEE TESTS WERE: SATIFACTOR'Y UNSATISFACTORY IF UNSATISFACTORY DESRTBB CORRECTIVE ACTION REQULUD AND ADDITIONAL RETESTING REQUIRED: `—'�'-- DATE: `� a g3 NIT INSPECTORn LL DATE; - Z 9 — C� C'USTOMERlAGL•NTJlNGINT;i;it VAgTi`IZSS L, (_ (Tr PRESEM' OR .RlsED QUIIt) i�liictirp IiatC ?•? �-47 Itc,iFian Nu. •1 Page 3 ut• c HANKAL OONST 9077576088 p.22 ATTA CIMENT PROCEDURE GVB-001. VACL'LJM BODY TEST CERTII'ICATI ORDER NO. CUSTOhm PROCDURE NO. TANK Iv O. c a 3 g a 5z The seams checked below for the N& or vessel were tested on the fallowing REQUIRED / ssB07TOIri DATE �/ 7�� % BY: DATE BY:r �C• SHELLDATE a By. e -i- n� DATE 7 0 BY: NO.OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, RETESTED & PASSI3D YES NO THE RESULTS OF THE TESTS WERE: SATIFAC'CORY UNSATISFACTORY IF UNSATISFACTORY DESRISE CORRECTIVE ACTION REQUIRED AND .ADDITIONAL RETESTING REQUIRED: DATE: � a J3(t,ti7 INSPECTOR / CUSTOMERIAGENVENGIN.I ER 41f1TNESS fit, (IF PRESENT OR. RTQUIRI�D) Ffli 6w flute 3-??•U: Xcvhiwl IN,.)..I NaL : kl*! I- -i I -LA V� C.- HANKAL CONST 9077576088 p.15 ATTACHMENT PROCEDUZE GV13-001 . VACL7'UM BOX TEST CERTIFICA7 ORDER NO. ,Z J % �'� } CUSTOMER PROCDURE NO. TANK NO, �. 3 3 C ' D �.S The seams checked below for the tank or Vessel were tested on qfolloivi:nates.' REQUIRED 130TTOIv1 DATE By: 17-rJ70"R6eP' DATE BY: SHELL DATE I i �- ZO F'O 7 BY; 1-24-- �rr DATE '02 BY: NO, OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES N0 WERE ALL LEAKS REPAIRED, RETESTED & PASSED YES NO THE RESULTS OT THE TESTS WERE: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRiBE CORRECTIVE ACTION REQUIRED AND ADDITION.0 RETESTING REQUIRED: DATE• p BlYf • LNISPECTOR CUSITOAIER/AOENT/EiYGIN']!-El VifITNLSS U4- (IF PRESENT OR REQUIRE itcvisi n No. 4 NCI$@ 7 llr � e HANKAL CONST 9077576088 p,8 ATTACHMENT PROCEDURE GVB--001 /'� VACUUM BOY TEST CERTIFICATION,—" —• `--� ORDER NO. CUSTOMER PROCDURE NO. TANK NO, <�: 3 3 G? O 3 e ' The seams checked below for the tank or vessel were tested on the folloates. REQUIRED' G BOTTOM DATE - (61-710 '7 BY: �2! &G-F DATE 0 BY: SHELL DATE &- 7 By.��'� DATE h f' �O BY: F. K NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUL]: YES NO� WERE ALL LEADS REPAIRED, RETESTED & PASSED YES NO TI3E RESULTS OF THE TESTS WE,RE: SATIFACTOR UNSATISFACTORY IF UNSATISFACTORY DESRIBE CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: DATE: i1'1'I' h�(SPECTOR DATE-': CUSTOMEWAGENVENGIN.I EIt ESS UL 00 {IF PRESENT OR REQUIRED} 1? IYrc l ivc Hair : •>': -q'. lterisinn 1121w .4 of e HANKAL CONST 9077576088 p.23 ATTACHMENT PROCEDUM GVB-001 VACUUM BOY TEST CERTIFICATIO�`� ORDER NO. ¢ 7 t CUSTOMER PROCDURE NO. TANK NO, �` .3.3 9 d l The seams checked beIow for the tank or vessel were tested on the follotiving dates. REQUIRED PoTrom . DATE 4�t7 a 7 BY: " 47- J?rDATE BY: SRELLDATE .6 7 c 7 BY: �r DAT23 a " 7 _ BY: NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO 'WERE ALL LEAKS REPAIRED, RETESTED & PASSED YES NO THE RESULTS OF THE TESTS WEI�E: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRTBT' CORRECTIVE ACTION REQUIRED AND ADDI'i TONAL RETESTING REQUIRED: DATE: s� n BNlfr INS C'TQR ? q - CUSTOM+ ER/AGENTIENGN, .REl. 'ITNE-SS U L {IF PRESENT OR REQUIR ) ;;ii-eviveBate.-_'9-U: tccL-iva NO. 1 Page j nf! HANKAL CONST 9077576088 p.9 ATTACHMENT PROCEDURE GVB-DOI VACUUM BOX TEST CERTiFICATI ORDER NO. CUSTOMER PROCDURE NO. TANK NO. C 33 9 03 I, The seams checked below for the tank or vessel were tested on the following dates. REQUMED BOTTOM DATE BY: 12'- DATE b BY: SITELL DATE 6AA s 7 BY: DATE BY: !L NO. OF REPAIRS MADE: BOTTOM ROOF SAELL DECK WERE ANY LEAKS FOUND: YES NO 3 WERE ALL LEAKS REPAIRED, RETESTED 8: PASSED YES NO 'THE RESULTS OF THE TBSTS WERE: SATtFACTORY UNSATISFACTORY IF UNSATISFACTORY DESP BE- CORRECTIVE ACTION REQUIRED AND ADDTCIONAL RETESTING REQUIRED: DATE:, .� `Bhfr INSPECTOR ttJ..t eGe � DATE-: (o - z4- 09 CUSTOMMAGLNTlE<NGINFEIi WITNESS a t.- {IJ= PRESENT OR R,L'QUIRED) Vlrcoiv Nit! Rcriciin Nn. -1 NANKAL CONST 9077576088 p.10 4 ATTAC=NT PROCEDURE GVB-001 VAMIM BOY TEST CERTIFICA`I'IOy� ORDER NO. 0 Z / 7 �--7 CUSTOMER t t` PRO CDURE NO, TANK NO. G' .33 `� p 4--a The seams checked below for the tank or vessel weze tested on the ollownrg dates. REQUIRED lz f B_ _ OTTOtiI DATE BY: .s DATE BY:� SHELL DATE 6 �'/a -7 BY: - DATE -ArZ 6 % ' BY: _ NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO� WERE ALL LEAKS REPAIRED, .RETESTED &c PASSED YES NO THE RESULTS OF THE TESTS WERE: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBE- CORRECTIVE ACTION REQUIRED AND ADDITIONAL. RETESTING REQUIRED: MMSPEC7�09R e�-��-5 DAT.Ts: L3iM CUSTOMER/AGENTIENGJN.EE WITNESS (� Z (IF PRESENT OR R.LiQUIR r•rrccu� ,Mli 1-25.111 itcvisilo 11"o-1 HANKAL CONST 9077576088 p.17 ATTACH 1'IENT PROCEDURE GVB-401 VACUUM BOX TF�T CERTIRICATI ORDER NO. CUSTOMER �+ , PROCDURE NO. TANK NO. G.3' g o The seams checked below for the tank or vessel were tested on the following dates. REQUIRED BOTTOM DATE BY: DATE BY: t SHELL DATE c o BY: �- ner DATE a BY: �• -NO.OFREPAIRS -ADE: BOTTOM 5i a SHELL�ki WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, RETESTED & PASM YES NO THE RESULTS OF THE TESTS WERE: SATIFA CTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBE CORRECTWE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: TJ55r-01d /Z0p4L.crs c r, DATE: p ' MX17 INSPECTOR -- DATE• CUSTOIlER1AGENT/ENC1Nl);1� 'IT�TESS .• (1F PRESENT OR ItrQul_z>r (fL rnuna�r s•a' -u; 0 HANKAL CONST 9077576088 p.14 ATTACHMENT PROCEDURE GVB-OQI . VACUUM BOXTEST CERTIFICATION CUSTOMER u l� PROCDURE NO. TANK NO, C`_3-3 The seams checked below for the tank or vessel were tested on the followii:g dates. REQUIRED OTTOM DATE d By: DATE BY: r r SHELLDATE 4 BY: �t kw,es- DATE 4 ss BY: . NO. OF REPAIRS MADE: BOTTOM ROOF SB= WERE ANY LEAKS FOUND_ VES NO X WERE ALL LEAKS REPAIRED, RETESTED & PASSED YES NO THE RESULTS OF THE TESTS WERE: S IF'ACTORY UNSATISFACTORY IF UNSATISFACTORY DESRT2E CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: BKF INSF CTOR DATE: p G VZ— DATE: CUSTOM E.RIAGEN71ENGWIER WITNESS (IF PRESENT OR -REQUIRED) 1°ffxlicc male =-1s-11 raLe a'd G -L4— zav HANKAL CONST 9077576088 p.13 ATTACHMENT PROCEDURE GVB-001 VACUUM] BOY TEST CERTIFICATION ORDER NO. ? Q CUSTOMER PROCDURE NO. TANK NO.d 4-.3 The seams checked below for the tank or vessel were tested on the folio ztes. REQUIRED OT.rom DATE � DATE SHELLDATE BY. r DATE o BY. NO. OF REPAIRS MADE: BOTTOM ROOF S IE L D3CK WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, .RETESTED & PASSED YES NO THE RESULTS OF THE TESTS WERE: SATIFACTDRY UNSATISFACTORY IF UNSATISFACTORY DEMME CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: DATE: 21,,2 y Q I3 " i�CTOR. % CUSTOM ERIAGENTIE (IF PRESENT OR P;Ol ciivc Dow; Rcvisiim t)..1 Pan S u! � 1TNESS Jje-- %—ZF - C"n NANKAL CONST 9077576088 p.12 ATTACHMENT PROCEDURE GVB-001 VACL"UM BOY TEST CERTJYI CATION ORDER NO. i CUSTOMER PROCDURE NO. ,e- TANK NO, The seams checked below for the tank or vessel were tested on the following slates. REQUIRED f OTTOM DATE O BY: jjs �---a TE BY: Lz L , — SHELLDATE ti By; DATE o BY: NO. OF REPAIRS MADE: + BOTTOM ROOF SHELL , DECK WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, RETESTED & PASSED YES NO THE RESULTS OF THE TESTS WERE: 6ATiFACTOR UNSA fISFACTORY IF UNSATLSFACTORY DESRTBI: CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: DATE: o A;PI;CFOR '� �✓-fib+•- IrW DATL: -6-7 WiTi` ESS U [— (IF PRESENT OR R ,5QTJIRED } I°Il'ectir� i)nll i 5-ir licri.iun ho..1 y HANKAL CONST 9077576088 p.7 ATTACHMENT PROCEDURE GVB-401 VACUUM BOY TEST CERTIFICATION ORDER NO. / 7 CUSTOMER PROCI)URE NO. r TANK NC. � 3 :3: � O 3 % -('� V• The seams checked below for the taor vessel were nk tested on the o o ales. REQUIRED BJ.� �rI DATE BY: ��•^ Zit DATE BY: 9-HELLDATE l! c BY: _r ef- DE DATE BY; - NO- OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, RETESTED & PASSED YES NO THE RESULTS OF THE TESTS WERE: SATIFACTORY UNSATISFACTORY IF UNSATTSFACTORY DE.SRTBE CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: { DATE.: fif- I�iSFECTOR litTE: C _ = '1TNESS me (IF PRESENT OR REQUIRE. Filch+t (l tc }•_?-C) iteri:inn h'u.:) Page HANKAL CONST 9077576088 p.18 ATTACHMENT PROCEDURE GV13-001 VACUUM BOX TEST CERTIFICATION ORDER NO. cZ77 ¢- 7 CUSTOMER PROCDURE NO. �= TANK No. e—'4 33 c> The seams checked below for the tank or vessel were tested on th ID etes. REQUIRED BOTTOM DATE >E � BY: �,' .� . (� - DATE BY: t SHELLDATE By. �� e� DATE BY: r= NO.OF REPAIRS 114ADE: BOTTOM ROOF ' SHELL DECK WERE ANY LEAKS FOUND: YES NO _ WERE ALL LEAKS REPAMED, RETESTED & PASSED YES NO THE RESULTS OF TiiE TESTS WERE: S, - CTORY UNSATISFACTORY IF UNSATISFACTORY DESRTBI; CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: DATE: 6 rZ 13KIff INSPECTOR a DATE:C,-7 CUST'OMERJAGL-NTIENGIN3ER WITNESS b L (IF PRESENT OR REQUIRE . r NANKAL CONST 9077576088 p.2 ATTACHMENT PROCEDURE GVB-001 VACUUM BOY TEST CERTIFICATIQ'�L ORDER NO. i� C CUSTOMER PROCDURE NO. TANK NO. 3 3% 0 3- �� w The seams checked below for the tank or vessel were tested on the ollowing dates. REQUIRED r BOTTOM DATE b/� ® By; S DATE BY: J- • � , SRELLDATE / BY: elo— DATE BY: J NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK , WERE ANY LEAKS FOUND: YES NO Z-- WERE ALL LEAS RFPAIRM, .RETESTED & PASSED YES NO THE RESULTS OF TEE TESTS WERE: SATIFACTO UNSATISFACTORY IF UNSATISFACTORY DESRTBI' CORRECTIVT ACTION REQUMBD AND ADDITIONAL RETESTING REQUIRED: -BMT JANSPECTOR (TF PRESENT OR REQUIRED) t7I7eri ire nmr Ittri�iini lace � or! k\ 5 HANKAL CONST 9077576088 p.3 ATTACMMNT PROCEDURE GVB-001 VACLTUM BOX TEST CERTIFICATION 0 ORDER NO. ¢--7 A� G CUSTOMER T (� v PRO CDURE M. �,� l�, v� TANK NO: G--�3 g o.33 The seams checked below for the tank or vessel were tested on the fo awing dates. REQUIRED rr�� BOTTOM DATE j; �f�% � _ BY: 1 �j Aa-e� DATE 7TT� BY: • k . SHELLDAT-E o " BY: DATE / n BY: . NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE AMY LEAKS rOUALb: YES No WERE ALL LEAKS REPAMED, RcTESTED & PASSED YES NO TEE RESULTS OF THE TESTS WER - SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBE CORRECTM ACTION REQUIRED AND ADDITIONAL RETESTING REQUMD: ��INSRC�CTOR �'— �.��•— DATE:� d]3 T-- C WiTiL-SS (IF PRESENT OR RX, QUIRED) I°i7cclfvc Mac (tri,i1„1 No..1 •, flunk : Ill � (0'Z$—D7 HANKAL CONST 9077576088 p.4 ORDER NO. CUSTOMER FROCDURE NO, ATTACHMENT PROCEDURE GVB-001 VACLTM BOY TEST CERTIFICATION _---z TAM(. NO. C ti33 g 03 4L - The seams checked below for the tank or vessel were tested on the REQUIRED BOTTOM DATE C7' BY: DATE BY: r_ SHBLI.DATE / d �L BY: �, jC �r DATE f3 v�; BY: Cr N O. OF REPAMS MADE: BOTTOM SHELL DECK WERE A-NYLEAKSFOUND: YES NO WERE ALL LEAKS REPA1RM, RETESTED & ,FASSED YES NO TEE RESULTS OF THE TESTS WERE: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBI;' CORRECTIVE ACTION REQUUM AND ADDITION.0 RETESTING REQUIRED: DATE: o �� OR t +h'ITNL-5S L (IF PRESENT OR RE-QUIR t` 114l ive fRuc : •, ;-u, Ito-1:41m No. •1 NANKAL CONST 9077576088 p,11 ATTACHMENT PROCEDURE GV13-001 VACUUM BOY TEST CERTIFICATION ORDER NO. % CUSTOMER Toi PROCDURE NO, TANIC No.The seams checked below for the tams or vessel were tested o REQUIRED OTTOM DATE13- By_ k t Z.r DATE By: . SHELL DATE 3 ' U BY: l" DATE /3 v 7 BY: 17. NO. OF REPAIRS MADE: BOTTOM ROOF SEELL DECK WERE ANY LEAKS FOUND: YES NO _ WERE ALL LEAKS REPAIRED, .RETESTED & PASSED YES NO 'IRE RESULTS OF THE TESTS WERE: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRTBIs CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: 13NTf INSPECTOR ` DATis: w a -2 G —gV-i CUSTONIER/AGENTIENGIN.EE WITNESS (JL (IF PRESENT OR REQUII tlniecticc frdc _-24.ir Meri�i+ni �`n. •t HANKAL CONST 9077576088 p.21 ATTACMMNT PROCEDURE GVB-001 VACUUM BOY TEST CERTIFICATION ORDER NO. CUSTOMER 4 q PROCDURE NO. �� 1 TA1M NO. The seams checked below far the tanit or vessel were tested on the following dates. REQUMED BOTTOM DATE By. S :1Z Or DATE BY: J� SHELL DATE ! O BY: &6�7er DATE it D BY: NO. OF REPAIRS MADE: BOTTOM ROOF SHELL DECK. WERE ANY LEAKS FOUND: YES NO � WERE ALL LEAKS REPAERED, -RETESTED & PASSED YES NO THE RESULTS Or THE TESTS WMD E-: SATIFACTORY UNSATISFACTORY IF UNSATISFACTORY DESRIBIE CORRECTNE ACTION R-EQUaED AND ADDITIONAL RETESTING REQUIRED: - T3R9"t` Ski PL•CTOR � DATL: _1NiCo1.• C .iQat- DATE: irl''Z�r p-j CUSTOM1HUAGENTtENGME}ER WITNESS u L. (IF PRESENT OR REQUIRED) Ftticlivc naiv Itevisicet No,.1 1,22:. 41rs ti HANKAL CONST 9077576088 p.16 ATTACHIVIENT PROCEDURE CVB-001 . VACUUM BOY TEST CERTIFICATION ORDER NO.% CUSTOMER Uthedatesl PROCDURE NO, TANIC NO. G 33 `io qf,The seams checicedbelow fcr the tankor vessel -,vere teste REQUIRED BOTTOM DATE .6/1 d By. i DATE BY: r SHELLDATE / o BY; or- D TE 4 BY: j {� 'NO OF REPAIRS MADE: BOTTOM ROOF SHELL DECK WERE ANY LEAKS FOUND: YES NO WERE ALL LEAKS REPAIRED, ,RETESTED & PASSED YES NO 'I13E RESULTS OF THE TESTS WERE: SATIFACTOR UNSATISFACTORY IF UNSATISFACTORY DESRTBE CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING REQUIRED: D ATE: i3��P1' L�JSPIrCTOR CUSTOM11WAGENTIENGI 'i E WITL]E5S (IF PRESENT OR REQUIRE Ulfcclivc Mac Ileriliuu No..1 Pase i .,f ; HANKAC CONST 9077576088 p,6 ATTACHMENT PRO CEDURE GVB--001 VACLTM BOY TEST CERTIFICATIOLN ORDER NO. . f ? ¢- -7 CUSTOMER PROCDURE NO. TANK NO, C 3 3 `) 03 The seams checked below for the tanIc or vessel were tested on the following dates. REQUIRED � BOTTOM DATE L/Z BY: (� Zt S#-, ReOV_ DATE ` ! BY: � j SHELLDATE /2 o BY: F DATE a ,� BY: _ NO. OF REPAIRS MADE: BOTTOM ROOF $j-IE1.7 DECK WERE ANY LEAKS FOUND: YES NO WERE ALL LEQ'1.KS REPACKED, RETESTED & PASSED YES NO TEE RESULTS OF THE TESTS WERE: �SA�ACTORY UNSATISFACTORY IF UNSATISFACTORY DESR.IBE CORRECTIVE ACTION REQUIRED AND ADDITIONAL RETESTING RBQU=: DATE: 731�fi' L�ISPECTOR DATE: 6 - 7-4 CUSTOMEWAGENT/ENGINFE WITNESS u t. {IF PRESENT OR REQUIRE lflizi� 1}dlr G?c•q7 - 12d+isluu Paw 5 I,rs 0