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'-r-A <br />K K <br />NO 0 <br />A OG <br />E , -1-:.-T. S <br />..OL <br />TECHNOLOGY FORTANKS <br />. .1 E. IIR..:T <br />�T= <br />OTHER ENVIRONMENT <br />Iva� <br />Owner <br />Invoice Name/Address <br />Site Name/Address <br />TANKS <br />VacuTect"m TEST REPORT <br />Site# <br />LINES <br />S.O. # 0 <br />Date <br />Phone g Y, <br />Attn: <br />Leak Det <br />Ullage <br />TANKS and LINES Tested to CFR -40 Parts <br />See <br />Diag. Tank <br />Dipped <br />Dipped Probe <br />Water <br />Bubble <br />Air <br />Line <br />Final <br />Exist 280-281 & NFPA 329 Spec's <br />Dia. & <br />Water <br />Product Water <br />Ingress <br />Ingress <br />Ingress TANK <br />Line Delivery LINE <br />LINE Leak <br />LINE LD(s) NEW <br />For <br />Material <br />Level <br />Level Level <br />Detected <br />Detected <br />Detected 0. <br />Material Syst. Type TEST <br />TEST Rate <br />0 Pass/ LD(s) <br />ST/ <br />0 Tight <br />N N a <br />1111111 ■ <br />Tight Fail/ Tested Other: <br />FRP/ <br />Tank <br />ank Tank Tank <br />START <br />START START <br />or <br />ST/ START <br />END <br />or or & <br />Lined <br />END <br />END END <br />Yes/No <br />Yes/No <br />Yes/No Fail Line # <br />FRP PS/SS/GS TIME <br />TIME GPH <br />Fail NONE PASS <br />Product Capacity <br />Product <br />J01 <br />15-1ameler <br />V0 L!�,A� <br />5(--P3 1rb <br />.3 qo 077 <br />Exist LO SN/MDL/MFG:z. <br />�' 4 0, 4--1k <br />16 000 <br />4. 4/ <br />New LD SNIMDL/MFG: <br />Start Time: <br />rcent d -T Fill at <br />Time of Test: <br />Pump <br />LINE TEST PSI <br />Lug <br />Ta kbe <br />. l:—I PErnotrv: <br />Inclinom ter <br />Dispenser a,�q <br />Oo3erate es/noJr <br />iameter <br />-rime: <br />Exist LD SN/MDL/MFG: <br />I <br />New LO SN/MDL/MFG: <br />-17ater a <br />Start Time: <br />rcent of Fill at <br />Time of Test: <br />Pump <br />Mfg.: <br />LINE TEST PSI <br />End Time: <br />an <br />Test PSI: <br />Probe <br />Enta: <br />Inclinometer <br />Decrees: <br />Dispenser Shear Valves <br />Operate (yes/no) <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New LD SN/MDL/MFG: <br />-Wa—ten­a <br />Start Time: <br />r—cent of Fill atPum <br />Time of Test: <br />Mf ..p <br />LINE TEST PSI <br />,)wan <br />End Tiime: <br />Test PSI: <br />P <br />I 001M.be <br />Inclinometer <br />Decrees, <br />Dispenser Shear Valves <br />Operate (yes/nolameter ) <br />Exist LO SN/MDL/MFG: <br />New LD SN/MDI,/MFG: <br />-Wafensl­ <br />Time: <br />79r-ce-n-t Friff -at <br />Time of Test: <br />Pump <br />Mfg.; <br />LINE TEST PSI <br />End TIme: <br />78-nV— <br />Test PSI: <br />Probe <br />F n1a: <br />inclinometer <br />Decrees* <br />Dispenser Shear Valves <br />Operate (yes/no) <br />Diameter <br />Exist LD SN/MDL/MFG: <br />New LD SN/MDL/MFG: <br />-Wa—tena7 <br />Start Time: <br />i <br />Wt f Fll <br />roen <br />Time of oTest: at <br />Mf. <br />PUT <br />LINE TEST PSI: <br />End Time: <br />Test PSI: <br />Probe <br />Enl%:r <br />Inclinometer <br />Dispenser Shear Valves <br />O rate es/no <br />'571ameter <br />77771 777 <br />Exist LD SN/MDL/MFG: <br />New LD SN/MDL/MFG: <br />Patens <br />Start Time: <br />TW C-0 of Fill at <br />Time of Test: <br />I <br />P 2P <br />MUG <br />LINE TEST PSI: <br />Endrme: <br />7a-nlZ— <br />Test PSI: <br />Probe <br />Inclinometer <br />Dispenser Shear Valves <br />Operate (yes/not <br />Tanknology Corporation International <br />TANKNOLOGY Region: <br />Unit #Ll <br />State Lic. # <br />State: <br />5225 Hollister St., Houston, TX 77040 <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />(800) 888-8563 0 FAX (713) 690-2255 <br />TAK-01 <br />