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A -'OLO,6G <br />VacuTectTm TEST REPORT <br />T ECHNOLOGY FOR TANKS <br />AND THEM ENVIRONMENT <br />Owner : I,1EV/Z(9N Site # 9 5 '7175 <br />Invoice Name/Address CHE'VA0/A/ 415/9 2029. BDX 5OO'�' 51IN /?/I M' w' C'4. q2-1:500-3 <br />Site Name/Address V /W AI 30/ W K E T %L, E 1"A A1 46141,9 1,, Clq 475Z'710 <br />s.o. # /74) 7c9& <br />Date 41 —/ S 96 <br />Phone 5110 ` 8 T2 <br />Attn: M /x R6 E' 1=�11?-04�4/Q <br />TANKNOLOGY Region: 1� "? Z Unit # /57 State Lic. # 9cf-J5'1O State: CA <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />•TAK-02 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 9 FAX (713) 690-2255 <br />TANKS <br />LINES <br />Leak Det <br />See <br />Deg <br />For <br />rank <br /># <br />Tank <br />Product <br />Tank <br />Capacity <br />Tank <br />Dia. & <br />Material <br />STI <br />FRP/ <br />Lined <br />Dipped <br />Water <br />Level <br />■ <br />START <br />END <br />Dipped <br />Product <br />Level <br />■ <br />START <br />END <br />Probe <br />Water <br />Level <br />■ <br />START <br />END <br />Water <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Bubble <br />Ingress <br />Detected <br />■ <br />I Yes/No <br />Ullage <br />Air <br />Ingress <br />Detected <br />■ <br />Yes/No <br />TANK <br />■ <br />Tight <br />or <br />Fail <br />Line x <br />Line <br />Material <br />■ <br />ST/ <br />FRP <br />Line <br />Delivery <br />Syst Type <br />■ <br />PS/SS/GS <br />LINE <br />TEST <br />■ <br />START <br />TIME <br />LINE <br />TEST <br />■ <br />END <br />TIME <br />Final <br />Leak <br />Rate <br />■ <br />GPH <br />LINE <br />■ <br />Tight <br />or <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 />TANKS and LINES Tested to CFR -40 Parts <br />280-281 & NFPA 329 Specs. <br />Other: <br />Diameter <br />/ <br />/ r <br />.7 <br />O <br />D <br />�D <br />G�� <br />Et LD $N/MDL/MFG <br />Exist <br />/ <br />W57 -/X <br />-'/3 <br />New LD SNiMDL/MFG <br />LINE TEST PSI <br />D se ate es/norl Valves <br />/ . ? 0 <br />atena <br />F <br />l�� <br />Percent o Fillat Z umP , /O /� <br />Start Time: Time of Test: Mt /V N <br />n Time- Tan P I /1 Pro e �try/ ! ) IncDeclinometer /1ees` i/N �7 /J P ),a :5 <br />CJ f+ A / �`r /J/� <br />Diameter <br />"R <br />5.5 <br />'7 <br />,?2 <br />O <br />T <br />, <br />N <br />Exist LD SN/MDL/MFG <br />w(_ <br />5J <br />(f <br />% <br />2 <br />5 <br />2-102 <br />Z/ 3 q <br />O <br />O% <br />/ <br />New LO SN/MOL/MFG -� <br />LINE TEST PSI <br />ate/la <br />Start Time: <br />rCent O i at <br />Time of Test: <br />Pump <br />Mfg.: <br />^ <br />1..� <br />1"�� n <br />% T <br />� s <br />5- <br />Z $ <br />� �J t� <br />J dZ7 <br />Q <br />� <br />Dispenser SheaVaives <br />operate (Yes/no) <br />End Time: T nt PSI: EntryProbe Inclinometer <br />Decrees. <br />Diameter <br />C <br />9499 <br />113 <br />O <br />r <br />r� <br />E-1 LD SN/MOL /MFG <br />LO SN/MDL/MFG <br />LINE TEST PSI /J <br />VFR®5SJZ/ OTDNew <br />ater a <br />Start Time: <br />rcent oat <br />Time of Test: <br />Pump <br />Mfg,: <br />I <br />Val— <br />Oer Shear ale <br />Operatees/not <br />Tank roe Inclinometer <br />Time: T PSI: n r <br />illlametern <br />/J <br />5-5 <br />9/J <br />;2-0/'7 <br />7- <br />^% <br />Eaist LD SN/MDL/NIFG <br />�' • <br />� <br />%• <br />�� <br />210:55 <br />/�� <br />1 <br />I <br />��!1(sf/�(/ <br />/� vi ` <br />©. <br />N <br />New LD SN/MDL/MFG <br />r M <br />LINE TEST PSI <br />Dispenser Shear Valves <br />O erste es/no) <br />assns <br />rcent o I al Pump ri�p y J ) <br />Start Time: Time of Test: Mfg.: C / Y\ S � / 4.S /Z 2 / 'j O T <br />lank Probe InclinometerIE <br />n Tim : T PSI: n r �'T ,` 7 <br />Diameter <br />Exert LD SN/MDL/MFG- <br />New LO SN/MDL/MFG <br />LINE TEST PSL <br />arena <br />Start Time: <br />rcent of Fillat <br />Time of Test: <br />Pump <br />Mfg <br />D Spenser Shear Valves <br />es/no <br />lank Probe Inclinometer <br />End Tim TP.f P I: Enrees*Operate <br />Diameter) <br />E.Ist LD SN/MDL/MFG' <br />—aterla <br />New LD SN/MDL/MFG <br />LINE TEST PSI'. <br />Start Time: <br />fCent of Fillof <br />Time of Test: <br />Pump <br />Mfg.: <br />Dispenser Shear VaI„es <br />Operate es/no <br />an roe Inclinometer <br />End Time: T I: n r <br />TANKNOLOGY Region: 1� "? Z Unit # /57 State Lic. # 9cf-J5'1O State: CA <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />•TAK-02 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 9 FAX (713) 690-2255 <br />