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A KNOLOG <br />It <br />VacuTect TM TANK TESTING REPORT <br />n n tin tuvirinrvrrttn <br />Customer " Site # 7S S'S`aS <br />Invoice Name/Address <br />Site Name/Address Z <br />S.O.# IV 7 s--1 <br />Date 3 <br />Phone <br />Atrn: <br />Sa <br />" <br />DWO <br />For <br />Tank <br />n <br />Tank <br />Productl <br />Tank <br />Dia. <br />Tank <br />Gallonsl <br />TANKS <br />Tank Dipped Dipped <br />Mat'I Water Product <br />■ Level Level <br />ST/ ■ ■ <br />FRP/ START START <br />Lined END END <br />i <br />Probe <br />i Water <br />, Level <br />I ■ <br />START <br />Water <br />ingress <br />Detected <br />■ <br />Yes/No <br />Bubble <br />ingress <br />Detected <br />■ <br />Yes/No <br />lAlage Air <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Ti ht <br />9 <br />m <br />or <br />Fail <br />(F) <br />Line# <br />LINES <br />Line <br />Mat'{ <br />■ <br />ST / <br />FRP <br />Deliv <br />Syst. <br />■ <br />PS/ <br />SS <br />Tight <br />(� <br />or <br />Fail <br />(F) <br />Leak <br />— <br />Exist <br />LD <br />Pass <br />FP) <br />(F) cr <br />NONE <br />Det <br />NEW <br />PnTasted <br />LD <br />■ <br />SOLD <br />Yes/No <br />►o <br />COMMENTS. 0,rw&,. <br />TANKS and LINES Tested to <br />CFR -40 Parts 280-281 and <br />NFPA 329 S 's. <br />P� <br />Other: <br />Exist LO SN: ��•- <br />END <br />1 <br />�� <br />1 <br />Z <br />73 <br />-�+ <br />sv <br />1B <br />New LD SN: <br />73 <br />i' <br />R <br />1C <br />Pump Mir.: <br />1D <br />2 <br />'v "� <br />�� <br />�C / <br />4 <br />S <br />'T— <br />Exi <br />LD SN:O <br />-st <br />Nett LD SN: <br />T2D <br />Pump Mfr. <br />Exist LD SN: <br />3 <br />".......... <br />� <br />3A <br />3B <br />New LD SN: <br />3C <br />Pump Mfr.: <br />3D <br />4 <br />7 <br />4A <br />Exist LD SN: <br />4B <br />New LD SN: <br />FT7Z7 <br />4C <br />Pump Mfr.: <br />4D <br />TANKNOLOGY Regional Office: /xyz- Unit Numbe <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. <br />Tanknology Corporation International <br />5225 Hollister St, Houston, TX 77040 <br />(800) 888-8583 0 FAX (713) 890 -2255 <br />