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0 M.M.. M--� <br /> wESgLE UST System Impact Valve Testin oRECEIVED <br /> Location g SEP 3 0 2016 <br /> Name: Costco##658 Tracy <br /> Address: 3240 W. Grant Line RdHPALTH <br /> City: Tracy Dat ��MENT <br /> Dispenser Product Impact Valve State: Ca <br /> Number Grade Impact Valve <br /> Locks?1-2 87 Secure? rest Result <br /> 1-2 <br /> 91 ®Yes ❑No ®Yes ❑No ®passComments <br /> ®Yes ❑No ❑Fail <br /> 3-4 87 ®Yes []No ®Pass <br /> ❑Fail <br /> ®Yes []No ZYes No <br /> 3-4 91 ®Yes ❑No ❑ ®Pass El Fail <br /> ®Yes ❑No ®Pass Fail <br /> 5-6 87 ®Yes []No ❑ <br /> Na ❑ <br /> No ®Pass E]Fail <br /> 5-6 91 No ®Yes <br /> ❑ <br /> 7-8 87 Yes ❑No ®Pass ❑Fail <br /> ® []NoYes No ®Yes ❑No <br /> 7 S g1 ®Pass E]Fail <br /> 9'10 []No No ®Yes ❑No <br /> ®Pass ❑Fail <br /> 87 ®Yes []No ®Yes <br /> []No ®Pass ❑Fail <br /> 9-10 91 ®Yes ❑No ®Yes []No ®Pass ❑ Fail <br /> 11-12 87 ®Yes ❑No ®Yes ❑NoPass <br /> ® ❑ Fail <br /> 11-12 91 ZYes ❑No ®Yes ❑No ®pass ❑ Fail <br /> ❑Yes []NO ❑Yes No ❑Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes ❑No ❑Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes [:]No ❑Pass ❑ Fail <br /> ❑Yes ❑No Dyes [:]No []Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes ❑No ❑Pass ❑ Fail <br /> []Yes E]No ❑Yes ❑No ❑Pass ❑ Fail <br /> Oyes ❑No Dyes ❑No ❑Pass ❑ Fail <br /> Dyes ❑No ❑Yes 1—]No ❑Pass ❑ Fail <br /> ❑Yes [:]No []Yes [:]No ❑Pass ❑ Fail <br /> :. ]Yes []No ❑Yes ❑No E:1 Pass ❑ Fail <br /> Dyes ❑No Dyes ❑No ❑Pass ❑ Fail <br /> Dyes ❑No ❑Yes ❑No [7]Pass ❑ Faii <br /> ❑Yes [].No ❑Yes [:]No ❑Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes ❑No ❑Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes [:]No ❑Pass ❑ Fail <br /> ❑Yes [:]No ❑Yes [:]No ❑Pass ❑ Fail <br /> ❑Yes ❑No ❑Yes ❑No ❑Pass ❑ Fail <br /> Dyes ❑No Oyes [:]No ❑Pass ❑ Fail <br /> Revised I1/03/2014 <br />