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C <br />C <br />ArKNOLOG <br />aC@CtT"'TEST REPORTCHNOLOGY FOR TANKSD .THEIR ENVIRONMENT <br />Owner Site # <br />Invoice Name/Address (,rFe'rv.0®.v &13A• Pzr•'3oK-5yvV (54,v /(Al"OA14 9,4"-613 <br />Site Name/Address C�V,<oy 1 t%P/ GN — Zo d< r , (r 9! 52-V <br />S.O.# 117232 <br />Date 41-1z -W <br />Phone &/'), <br />Attn: 11"IA&5 FQ,ei� <br />TANKNOLOGY Region: ii`qZ Unit # Z State Lic. # 15XS State: <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-02 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />TANKS <br />LINES <br />Leak Det <br />See <br />Diag <br />For <br />Lx <br />Tank <br /># <br />Tank <br />Product <br />Tank <br />Capacity <br />Tank <br />Dia. & <br />Material <br />ST/ <br />FRP/ <br />Lined <br />Dipped <br />Water <br />Level <br />■ <br />START <br />END <br />Dipped <br />Product <br />Level <br />■ <br />START <br />END <br />Probe <br />Water <br />Level <br />■ <br />START <br />END <br />Water <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Bubble <br />Ingress <br />Detected <br />■ <br />Yes/No <br />tillage <br />Air <br />Ingress <br />Detected <br />■ <br />Yes/No <br />TANK <br />■ <br />Tight <br />or <br />Fail <br />Line n <br />Line <br />Material <br />■ <br />ST/ <br />FRP <br />Line <br />Delivery <br />Syst. Type <br />■ <br />PS/SS/GS <br />LINE <br />TEST <br />■ <br />START <br />LINE <br />TEST <br />■ <br />END <br />TIME <br />Final <br />Leak <br />Rate <br />■ <br />GPH <br />LINE <br />■ <br />Tight <br />or <br />Fail <br />Exist <br />LD(s) <br />Pass/ <br />Fail/ <br />or <br />NONE <br />NEW <br />LD(s) <br />Tested <br />& <br />PASS <br />TANKS and LINES Tested to CFR -40 Parts <br />280-281 & NFPA 329 Spec's. <br />Other: <br />U — <br />j <br />lameter <br />JI <br />+70tt <br />UAIA <br />I- -_ro_. ._ <br />rr-e/ <br />_ �, <br />--TAME <br />,r-pb J <br />/! <br />-_-A'-_-" <br />N <br />A <br />Exist LD SN/MDL/MFG: /V <br />Ne _LD SN/MDL/MFG: <br />LINE TEST.PSI (�/�{ <br />Dispenser Shear Valves <br />Operate es/no < <br />atena '^�, Percent of I at �0® Pump <br />Start Time: Time of Test: l j1 M <br />j --'-_ <br />Fe-- fI'm robe Inclinometer <br />End Time: T E§1: n r <br />/ <br />5� <br />I8fi1818f <br />�- <br />"•�- <br />2-41�.5. <br />, <br />?-L 4i <br />Lill <br />�� <br />/ <br />Exist LD SN/MDL/MFG: A A <br />New LD SN/MDL/MFG: /vQ <br />LINE TEST PSI 5 a <br />rd <br />atena rcent O I at Pump <br />Start Time: Time of Test: Mfg.: <br />End Time: <br />an <br />Test PSI: <br />Probe <br />Ent <br />Inclinometer <br />0 r s: <br />Dispenser Shear Valves <br />Operate es/no) L J <br />5 <br />�� <br />Via—meter <br />q <br />d <br />/].. <br />l <br />/� <br />Exist LD SN,MDL/MFG: Al <br />New LD SN/MDL/MFG: /4lA <br />uNE TE -.T PSI j0 <br />Material I rcento at Ump <br />Start Time: Time of Test: Mf .. <br />End Time: <br />an <br />T PSI: <br />n <br />Inclinometer <br />Dispenser Shear valves <br />O ate (X—/no) fp✓q� <br />r <br />/l <br />n <br />% / <br />��� <br />ameter <br />L <br />�S <br />Z2 /� <br />?Z:`([p-9-' <br />,-�- <br />� <br />A <br />�/A <br />Exist LD SN/MDL/MFG: /� �j„ <br />New LD SN/MDL/MFG: Al <br />LINE TEST PSI <br />SQ <br />ater% <br />Start Time: <br />rcent O I at <br />Time of Test: <br />LIMPp <br />Mfg.: <br />Dispenser Shear valves <br />O erase es/nol <br />lanK Probe inclinometer <br />Ti T PSI: n 0 r <br />'15 -End <br />ameter <br />Exist LD SN/MDL/MFG: <br />New LD SN/MDL/MFG: <br />LINE TEST PSI <br />arena <br />Start Time: <br />- <br />Percento 1 at <br />Time of Test: <br />Ump <br />Mfg.: <br />Dispenser Shear Valves <br />O er,te Ivesma <br />Ta -n a Inclinometer <br />n I T I' nr0 D r <br />Diameter <br />Exist LC. ,SN/MDL/MFG: <br />New LD SN/MDL/MFG: <br />LINE TEST PSI: <br />Materialrcento I at ump <br />Start Time: Time of Test: Mfg.: <br />En Tim : <br />8n <br />T L' <br />f0 a <br />n r: <br />nC IDOmeter <br />r <br />- <br />i- <br />Dispenser Shear Valves <br />- erase es/no) <br />TANKNOLOGY Region: ii`qZ Unit # Z State Lic. # 15XS State: <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-02 <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />