Laserfiche WebLink
Tanknology Impact Valve FEB 2 j 2014Kc'�7 <br /> Inspection ENVIRONMENTAL <br /> Impact Valve Operational HEALTH DEPARTMENT <br /> Inspection <br /> Work Order: 2314728 Date: 2/4/2014 <br /> Site Name/ID: CORNER STORE#3698 <br /> Address: 153E 11TH ST QC-D-3 <br /> City: TRACY State: CA Zip: 95376 <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 r. q • Pass C Fail C Not Tested <br /> 1/2 91 r r • Pass C Fail C Not Tested <br /> 3/4 87 r r r Pass(- Fail C' Not Tested <br /> 3/4 91 r. • Pass f Fail r Not Tested <br /> 5/6 87 r r IT Pass r Fail C Not Tested <br /> 5/6 91 r r Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Darren Sciume <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> 02014 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />