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41 <br />a <br />]"A KNOLOG <br />VacuTect Tu TEST REPORT S.O.# <br />33 --- <br />Customer _ --Site # Date <br />'nvoice Name/Address /�yv �c �? �d C)ar C4 Phone <br />Site NamelAddress__ -- U-, GJa�-ir pov " -+�o -- � r � �.� �5� O15 G,at"14 -n: ----------- <br />TANKS <br />LINES <br />Leak Det <br />See <br />Tank I <br />Diaq Dipped Dipped Robe <br />a <br />Water Product Water uee q TANK <br />For Tank Dla & Water Bubble Ak <br />t =�� i Ma!eria ■ <br />Product Level Level Level ;ngtess rn tese Ir. res6 <br />ST/ ■ ■ ■ Detected Detected Detected esfFight <br />Tank & FRP! START START I START ■ ■ ■ a <br />of Gailons Lined FND END END Ye0No Yes/No Yes/No Fail <br />Line# <br />u» <br />►drrrl <br />ST I FRP <br />■ <br />e�� <br />psi es <br />UNE <br />TEST <br />■ <br />START <br />TIME <br />LINE <br />TEST <br />■ <br />END <br />TIME <br />Final <br />Leek <br />Rate <br />■ <br />GPH <br />LINE <br />■ <br />Tight <br />or <br />Fail <br />NEW <br />Exist LD(s) <br />LD(s) Tested <br />Pass/ <br />8e <br />Fair / <br />or PASS <br />NONE Model <br />TANKS and LINES Tested to <br />CFR -40 Parts 280-281 & NFPA <br />329 Specs. <br />Other: <br />------------ <br />Podtct Dim eler <br />I <br />lA <br />1+rrrrl <br />z�3G <br />�2��% <br />C6 <br />% <br />p <br />l <br />Exist LD SN: 30-141.-qF 69 <br />New LD SN <br />1B <br />G.bro rlb'Ind <br />Start Tim e <br />- Coi3 <br />P*meniofFla <br />a Tan Tim• G <br />713 rb <br />PUrrpSyat.Type <br />1./rgr <br />�.�--- <br />1C <br />—1D <br />LINE TEST PSI <br />-----------�� - <br />--- <br />IS/ <br />End Tim z�1E7 <br />ERmry Polnt �[,� �Y <br />TEST PSI. 'I �0 <br />�� <br />Operate a!ro <br />� nfa�wno)1rw~' -j <br />2 <br />PqO ct I Dlamrx«_0 <br />�/ <br />- – - <br />-40 /JO <br />/110-- <br />2A <br />— <br />22ZO <br />Z Z�G <br />Cll <br />p <br />Exist LD SN: <br />New LD SN: <br />2B <br />-- <br />2C <br />8 ypo T <br />� <br />bre 1,1401artal <br />Start Time Zc�L3 <br />ParcardofFE t <br />a Teat Ttrna_ 26., %p — <br />- --- <br />PUrrp _ <br />w9r. <br />LINE TEST PSI <br />2D <br />End Txne. 2�SL. <br />Probe <br />Entry Post •_�/ <br />TAN(// 'l <br />TEST PS I:�/�.c0 <br />i�s <br />DlapenaerShow Valves <br />Operate bewro): y� <br />31 <br />Podcr <br />oiv..at.r <br />m �O <br />��- -- <br />3A <br />— <br />trterw <br />Z330 <br />CORD <br />81g' <br />/ <br />Exist LD SW <br />I <br />/Ci0 /Vt7 <br />/ l%O _r <br />3B <br />New LD SN: <br />3C <br />Syst-Type <br />' <br />Obrn <br />kft veryw <br />Start Time <br />ParcantofFM - <br />al Taq Time <br />Pump <br />MWJF q- <br />LINE TEST PSI <br />5--�' <br />End Time <br />PI(bey <br />Entry Point - r / <br />TAMC <br />TEST PSI: /, <br />P5 <br />Dispenser Shear Valmi <br />Operate bewno): r <br />41P <br />u<hxt <br />Dismal- <br />4A <br />Materw <br />Exist LD SN: <br />4B <br />New LD SN: <br />4C <br />".Type <br />LINE TEST PSI <br />(3►'tro <br />I.t1.rYi <br />Start Time <br />ParcentofF■ <br />al Teat Time (o 7o <br />P -P - <br />►,Nqr: , <br />_P <br />S—� <br />5 1 <br />End Tme 0�l <br />be �y <br />Entry Point. <br />arV.ea <br />ObPenaerstrw <br />Operate " 3dno): <br />TANK <br />TEST PSI:-,'�20 <br />4D <br />Tanknology Corporation International <br />TANKNOLOGY Region: - Unit # _ State Lic.# / _ State: 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 a (800) 826-5837 e FAX (707) 446-2495 <br />FORM 14 <br />