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KNOLOG <br />TECHNOLOGY FOR TANKS <br />Am "11�19rY.iON.N9NT <br />Owner "HEVRON USA PRODUCTS CO. <br />Invoice Name/Address CHEVRON USA PRODUCTS CO. <br />Site Name/Address CHEVRON USA PRODUCTS CO. <br />VacuTecfm TEST REPORT <br />S.O. # <br />Date <br />Site # 94183 <br />Phone <br />ACCOUNTS PAYABLE SECTION P.O. BOX 5004 SAN RAMON, CA 94583 <br />Attn: <br />236 N. HAM LANE LODI. CA <br />084081 <br />07/12/93 <br /><510> 842-9624 <br />MARGE FARRAR <br />TANKS <br />LINES <br />Leak Det <br />See <br />Se' <br />LFor <br />Loc. <br />k <br /># <br />Tank <br />Product <br />Tank <br />Capacity <br />Tank <br />Dia. & <br />Material <br />ST/ <br />FRP/ <br />Lined <br />Dipped Dipped Probe <br />Water Product Water <br />Level Level Level <br />■ ■ ■ <br />START START START <br />END END END <br />Water <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Ullage <br />Bubble Air <br />Ingress Ingress TANK <br />Detected Detected ■ <br />■ ■ Tight <br />or <br />Yes/No Yes/No Fail <br />Line # <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 />TIME <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 />Diameter <br />_ <br />N T <br />S <br />p - <br />' <br />; 4 <br />Exist LD SN/MDL/MFG: <br />UNL <br />95 <br />N—/2nd LD SN/MDL/MFG: <br />77. 000 I 1 <br />- <br />LINE TEST PSI 50.00 <br />aterialrcent <br />O I i at <br />Start Time: Time of Test: <br />Ump r{ ED J A U K E. T <br />MIT. <br />Tan <br />Dispenser Shear Valves V <br />Operate es/no <br />— be Inclinometer <br />End Tim Test PSI: Ent D r <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI <br />aterial <br />rcenf O I at ump <br />Start Time: Time of Test: Mf .. <br />Dispenser Shear Valves <br />Operate es/no <br />an roe Inclinometer <br />End Time: Test PSI: Entry, De rees: <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New/2nd LO SN/MDL/MFG: <br />LINE TEST PSI <br />aterial <br />Percent of Fill at Pump <br />Start Time: Time of Test: Mfg.: <br />Dispenser Shear valves <br />Operate es/no <br />ank Probe Inclinometer <br />End Time, Test PSI: Entry, D res: <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI <br />Material <br />ercent of Fill at Pump <br />Start Time: Time of Test: Mfg.: <br />Dispenser Shear Valves <br />Operate es/no <br />an robe Inclinometer <br />End Time: Test PSI: Entry: D r <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI: <br />"Material <br />rcenf o III at Ump <br />Start Time: Time of Test: Mfg.: <br />Dispenser Shear valves <br />Operate es/no <br />an Pbe Inclinometer <br />End Time: Test PSI: Ent : Dear <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI: <br />aferlaPercent <br />1 <br />of Fillat Pump <br />Start Time: Time of Test: Mfg.: <br />Dispenser Shear Valves <br />Operate es/no <br />Tank toInclinometer <br />End Time: TestPSI:Entr : De rears. <br />TANKNOLOGY Region: WESTERN REGION Unit* '' State Lic. # <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK-01 <br />Tanknology Corporation International <br />State. 5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 9 FAX (713) 690-2255 <br />