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4 <br />A KNOLOG <br />VacuTect T' TEST REPORT- - s.o.# (9 00 Z-7 <br />.r ,tet • e...noaM[Mr <br />Customer - ------ - -- (,i S - - --- site # 11'5 77 S Date --- <br />invoice Name/Address G� u- S Phone 5l, - j y2 - r 6 z5G <br />Site Name/Address - 3°t - �''�- -rpt° f f le rna ~ - - - Lock' Ca %� �. ��a co Att'n: j"1Z _F�}�,�A k <br />Tanknology Corporation International <br />TANKNOLOGY Region: _ �� Z. _ Unit # S-7 State Lic.# 133 State: e t _ 4960-F Allison Parkway <br />NOTE Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 • (800) 826-5837 • FAX (707) 446-2495 <br />FORM 14 <br />TANKS <br />LINES <br />Lek/k. Det <br />See <br />Dia <br />Forg <br />{ C'c <br />Tank <br />s <br />Tank <br />Dia & <br />Tank Material <br />Product ST! <br />& FRP/ <br />Gailons Lined <br />Dipped <br />Water <br />Level <br />■ <br />START <br />END <br />Dipped Robe <br />Rodid Water wader Burble <br />Level Level <br />■ ■ ingress ingress <br />Detected Detected <br />START I START ■ ■ <br />END END Ye1./No Yes/No <br />usage <br />qy TANK <br />■ <br />Ingress right <br />Detected <br />■ a <br />Yes/No Fail <br />Line# <br />l� <br />1��rYl <br />ST I FRP <br />■ <br />s°'"T'r <br />psi sg Wo <br />LINE <br />TEST <br />■ <br />START <br />TIME <br />UNE <br />TEST <br />■ <br />END <br />TIME <br />Final <br />Leek <br />Rale <br />■ <br />GPH <br />LINE <br />■ <br />Tight <br />r <br />a <br />Fail <br />Exist <br />LD(S) <br />Pass <br />Fail! <br />or <br />NONE <br />NEW <br />LD(s) <br />Tested <br />& <br />Pass <br />Model <br />TANKS and LINES Tested to <br />CFR -40 Parts 280-281 & NFPA <br />329 SpeC's. <br />Other: <br />------- <br />1 <br />Podtt <br />ot:mr+ler <br />I`Z <br />Iq l/ <br />v 11 <br />1A <br />Nialsed" <br />Exist LD SN: <br />14)l0 I <br />I <br />/�'_ <br />If - <br />I" Imo© NC) <br />mI <br />1B <br />t { �I <br />i �%� <br />New LD SN: <br />Gb& • <br />AlbrW <br />FRSEnd <br />Stag Time <br />- <br />Time' <br />�� <br />PomentofFll c� <br />at Ten Tlme. JG'•5�0 <br />- - --- - ---- <br />EmryPlnt <br />Pu <br />r: <br />MN Imo'! <br />TANK ---- <br />IEST PSI: '30 <br />1C <br />LINE TEST PSI <br />_1 <br />ohpentershwarvolnfIK <br />Operatevtvnol: <br />S T <br />Cerv1 <br />�.p <br />0 t� !] <br />—1D <br />-- <br />2 <br />Pod" <br />G&I" <br />a'"'i"r <br />i <br />1.*1•rhl <br />i/ <br />none- (v�: SS`_ <br />nOY1Q �U•J1 <br />Start Time 2a - <br />_,Ito tZZ�{5 <br />����(� �liC7 <br />NmorwofFE L/ <br />at Teal The: ��' ! �O- <br />.-. <br />/DC7 <br />2A <br />FRP <br />0.00 <br />�bNp <br />\ <br />N1.. <br />�I <br />Exist LD SN: <br />New LD SN---- <br />- <br />LINE TEST PSI 15 <br />2B <br />ZQ� <br />2 �j <br />�,� <br />Punv <br />affyr �1 <br />2C <br />8 ro.Typs <br />J'Z-12L4 <br />L <br />2 <br />�q <br />TAS q $ <br />TEST PSI: � <br />2D <br />— <br />Operate SAw valves • r <br />Operate bealnol: �I <br />I " K <br />�P <br />- <br />End Time. ZZ <br />- <br />ERM ePolnc <br />ry r((�(`. � <br />�� <br />31 <br />Pod"' <br />�! <br />(��( <br />`"`- <br />�'�~ <br />I if <br />.�ZIrnOr^Q <br />111 k4loraal <br />(� <br />F�1 <br />// <br />h_%—__ <br />l j !I <br />- _. - � <br />Start Time 1 <br />End Time 223 <br />_�/i.-- ^r ,,jh <br />, l� -- - I`� ` v <br />PercenlofFla - - p -- <br />atTerATlme: ��/D <br />ERm6ryyPolnt F1 L -C- <br />pump'NW <br />Mqr. �ILrj <br />TEST PSI-, f ( <br />3A <br />_ <br />3B <br />��� <br />F�? <br />o0e20�o2gZo.�� <br />T <br />,l <br />( 1 <br />Exist LD SN: <br />Q059 <br />V1l 1 <br />0. 0c) <br />_ <br />New LD SN. <br />LINE TEST PSI <br />Diapon:"sinorValves <br />3C <br />SyaLType <br />�5 <br />3D <br />4 <br />Pmt <br />�uL <br />Q►xn <br />auneter <br />r <br />�Zl <br />�terW _ <br />�� <br />}10 4l -� •S <br />-�QYIP� /�L�!l <br />IIDD <br />Stan Time.22q( <br />End Time. oO (✓ <br />Of <br />i_ _ <br />�� ((�� <br />l��- <br />�� <br />i� <br />N� <br />T <br />1-_ <br />4A <br />World <br />p <br />�1�� <br />1 <br />02 <br />� p <br />Ivo <br />M1 <br />g <br />C <br />I <br />rc <br />Exist LD SN: <br />4B <br />I <br />p <br />�Z� I <br />�?j� <br />�� <br />_ <br />- -- ----- ---- <br />New LD SN: <br />P.rr:.norl=r o <br />al TeatTtne ?Q—��-- <br />wmc �wu <br />Myr: XL <br />4C <br />sy.t.Type <br />y <br />ZO <br />c7 <br />oa <br />nn/n� <br />O• W <br />T <br />LINE TEST PSI <br />IS <br />P�Po1rL L 2 <br />Entry Fi <br />AW <br />TE BT psi: ,Q <br />0 o <br />4D <br />-I <br />D <br />` 0 <br />-j <br />l <br />►rSftiarvalvea 1 <br />(,--e "Wrio): N <br />Tanknology Corporation International <br />TANKNOLOGY Region: _ �� Z. _ Unit # S-7 State Lic.# 133 State: e t _ 4960-F Allison Parkway <br />NOTE Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 • (800) 826-5837 • FAX (707) 446-2495 <br />FORM 14 <br />