Laserfiche WebLink
TA"KNOLO <br />mmmmmmmmmwo <br />.mom <br />TECHNOLOGY FORTANKS <br />ANO THEIR ENVIRONMENT <br />Owner U� <br />Invoice Name/Address <br />M <br />Site Name/Address <br />Site # i -,/f e3 <br />S.O. # <br />Dated ' �S <br />Phone � /O^ &yam <br />Attn: � Ie� <br />_Z' <br />TANKS I LINES Leak Det <br />TANKNOLOGY Region:._ Q9at' Unit # �� State Lic. # f �� <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-02 <br />State: 62 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 9 FAX (713) 690-2255 <br />Ullage <br />TANKS and LINES Tested to CFR -40 Parts <br />See <br />Tank <br />Dipped <br />Dipped <br />Probe <br />Water <br />Bubble <br />Air <br />Line <br />Final <br />Exist <br />280-281 & NFPA 329 Spec's. <br />Diag• <br />Dia. & <br />Water <br />Product <br />Water <br />Ingress <br />Ingress <br />Ingress TANK <br />Line <br />Delivery <br />LINE <br />LINE <br />Leak <br />LINE <br />LD(s) <br />NEW <br />Material <br />Level <br />Level <br />Level <br />Detected <br />Detected <br />Detected ■ <br />Material <br />Syst. Type <br />TEST <br />TEST <br />Rate <br />■ <br />Pass/ <br />LD(s) <br />40 <br />Tank <br />Tank <br />Tank <br />ST/ <br />FRP/ <br />Lined <br />■ <br />START <br />END <br />■ <br />START <br />END <br />■ <br />START <br />END <br />■ <br />Yes/No <br />■ <br />Yes/No <br />■ Tight <br />or <br />Yes/No Fail <br />Line # <br />■ <br />ST/ <br />FRP <br />■ <br />PS/SS/GS <br />■ <br />START <br />TIME <br />■ <br />END <br />TIME <br />■ <br />GPH <br />Tight <br />or <br />Fail <br />Fail/ <br />or <br />NONE <br />Tested Other: <br />& <br />PASS <br />Product <br />Capacity <br />a�ExisI <br />W <br />Diameter <br />C3 <br />/ <br />/� <br />LO SN/MOL/MFG'. <br />} �rj <br />New LD SN/MOL/MFG. <br />J <br />r� <br />(Y ! t <br />v <br />uNE TEST cslan <br />DispenserSnearEnd <br />O .rte1 es/nol49 <br />'— <br />a rla rcent o 1 at OC Mfmp <br />Start Time: Time of Test <br />roe . j nc urometer <br />Tim T I:-' n r <br />•/ <br />XMI., <br />®�© <br />1 <br />,+ % o <br />V V <br />®/D <br />!'✓� <br />t 0 J <br />/(/ P' <br />S1 <br />'T <br />Com' <br />.J <br />7/00 <br />�r <br />/v� <br />J <br />F!/ <br />Exist LD SN/MDL/MFG: °3 o/ 9"0' ` ��� -7 <br />New LD SN/MDL/MFG: / 7 <br />LINE TEST asi <br />Dispenser Snear valves <br />o erste (Yes/no) C� <br />atena Percent o I at ump <br />Start Time: Q Time of Test: .., Mf .. <br />S' an ro e r nc Iometer <br />End Time: Test PSI: "" Ent / Degrees: <br />7 <br />...J <br />/� <br />(r[J/-,) <br />�"YJ� <br />f} <br />(JDV <br />d <br />ameter <br />© <br />O <br />0 / <br />00 <br />v <br />ar0 <br />P�j <br />r <br />��/� <br />�y p <br />Exist LD SN/MDL/MFG'. <br />New LD SN/MDL/MFG. <br />Q� /�ST �(%� `) Tf <br />stensPercent <br />Start Time: <br />o t at <br />Time of Test: <br />>- (j <br />"`r <br />ump <br />Mf .. <br />!" <br />LINE TEST psi s <br />STank <br />End Time: <br />T P I: <br />ProbeInc <br />n <br />inomete� r s O <br />rees: <br />De ate s ( es/no Valves ` <br />ameter <br />/(J <br />�© <br />�%U /rl <br />Z` <br />` <br />D' ' A <br />XA2 f <br />p// <br />0/4 S <br />Exisl LO SN/MOL/MFG' <br />New LD SN/MOL/MFG'. 1/') /i� _ �� <br />d i t� <br />LINE TEST vsi S) -- <br />Dispenser Shear Valves <br />O erase 1 es/no <br />t <br />stens rcent o 1 at Pu <br />( Start Time: Time of Test: (j Mfg.: <br />r„) % an robe L nc inomete� <br />End Time: 0 -7 T P I: — 0 n / /i r 6 <br />iameter <br />E xisl LD SN/MOL/MFG: <br />New LD SN/MDL/MFG: <br />LINE TEST vsr <br />-0afenar Percent Ot 1-111 at Pump <br />Start Time: Time of Test: Mfg.: <br />End Time: <br />Tank <br />Test PSI: <br />Probe <br />En <br />InC inometer <br />Degrees:O <br />Dispenser Shear Valves <br />erase 1 es/no <br />ameter <br />Exist LD SN/MDL/MFG. <br />New LD SN/MDL/MFG: <br />`'. <br />LINE rEsr asr. <br />stens <br />Start Time: - <br />rcent o Iat <br />Time of Test: <br />- <br />ump <br />Mf .. <br />Dispenser Snear valves <br />O .rate i es/no <br />anProbe_. nc urometer <br />n Tim/ : T I: n -.? 3' r <br />TANKNOLOGY Region:._ Q9at' Unit # �� State Lic. # f �� <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-02 <br />State: 62 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 9 FAX (713) 690-2255 <br />