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TANRNOLOGY CORPORATION INTERNATIONAL <br />10700 JERSEY BLVD., SUITE 170 <br />RANCHO CUCAMONGA, CALIFORNIA 91730 <br />(714) 941-4491 - FAX (714) 941-7215 <br />IMPACT VALVE TEST REPORT <br />LOCATION: SERVICE STATIO NO.: <br />TEST DATE: /, <br />COUNTY: ���cn� TECHNICIAN��� <br />Corrected <br />Yes No Date <br />IMPACT VALVES <br />1. Are remote pumping systems used? <br />2. Are impact valves with fusible <br />links installed under all <br />dispensers? <br />3. Are the impact valve shear lines <br />within t 1/2" of the top of the <br />pump block? <br />4. Are the impact valves secured <br />to the pump island? <br />5. Does the impact valve open and <br />close easily? <br />6. Is the area immediately around <br />the impact valve linkage clear <br />of dirt, sand or gravel? <br />7. Is each impact valve free of <br />any device that may prevent <br />its proper operation? <br />8. Does the impact valve stop all <br />product flow when closed? <br />9. Are there any visible leaks, <br />weeps or sweating joints at <br />the impact valve? <br />10. Is the dealer satisfied that <br />all of the impact valves are <br />operating properly? <br />Remarks: <br />SMG/smp/3-31 0 . <br />