Laserfiche WebLink
EtmAKAN0WOLT R M TAWb <br />Owner <br />die Q� vN�v� ��,wttrn <br />•Invoice NamelAddress <br />Site Name/Address 9--')u <br />See <br />Diag. <br />For <br />Loc. <br />Tank <br />Vacue"Fect"m <br />TEST REPORT <br />Site # qg� I� <br />j <br />S.O. # a <br />Date <br />Phone <br />Attn: <br />rl 401 <br />TANKNOLOGY Region: __ �. `�' Unit State Lic. # l� "� p State: (" j <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 />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />TANKS <br />LINES <br />Leak Det <br />Tank <br />Tank <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 />U <br />Air <br />Air <br />Ingress <br />Detected <br />■ <br />Yes/No <br />TANK <br />■ <br />Tight <br />or <br />Fail <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 Fail <br />Exist <br />LD(s) <br />Pass/ <br />Fall/ <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 8 NFPA 329 Spec's. <br />Other: <br />Product <br />Capacity <br />Line # <br />lameter <br />11 <br />\114New <br />Exist LD SN/MDUMFG: <br />LD SN/MDL/MFG: <br />V <br />UNE TEST PSI <br />Dispenser Shear Valves <br />ata o <br />ateN81 PafCant of FIII at Pump <br />C�Y Start Time: - TVme of Teat: Mf <br />Probe <br />y (� <br />1.5 r <br />rtyy <br />Cc% -/ <br />ow <br />l <br />Nv t <br />T4() <br />Exist LD SN/MDL/MFG: <br />t (1Ac <br />tV <br />New LD SN/MDL/MFG: <br />LINE TEST PSI <br />Dispenser )Valves <br />ate es/nosPoo <br />�V <br />Material Percent t Fill at Pump <br />q <br />Stan Time: Time o} Teat- MF . <br />`� n Probe . F q s <br />T <br />Fort Tinter- est PSI: rntry <br />6F050( <br />(D <br />3 <br />� o <br />Exist LD SN MDL/MFG <br />/ <br />INew <br />LD SN/MDL/MFG: <br />\W`t <br />ttj l <br />LINE TEST PSI <br />rJ� <br />8teflalrceM III at Pump <br />^ _ Stan Time: Time o} eat: i) Mfg. <br />End Tinha- at PSI:: Probe CW ­operate) <br />meter <br />flE <br />Exist LD SN/MDL/MFG: <br />New SN/MIK/MFG: <br />–) j <br />�� <br />TEST PSI <br />TE <br />Dispenser Shear valves <br />aiaflel Time of 9f Fflf at Pump <br />Start Time: Time o Tact: Mfg.LINE <br />S� MCI P Probe <br />tarneter <br />Lo sN/MOLnaFc <br />New LD SN/MDL/MFG: <br />JE,ill <br />UNE TEST VSI: <br />e Pump <br />alefiel mCaonll at <br />Stan Time: M9 . <br />End Tr—. <br />nProbe <br />alat PSI!Coerate <br />Dispenser Shear Valves <br />mo <br />lameter <br />Exist LD SN/MOL/MFG: <br />New LD SN/MDL/MFG: <br />NE TEST PSI: <br />Material Stan Time: T1'. ol eat II al mp <br />NIF <br />k <br />obe <br />Shear valves <br />to <br />rl 401 <br />TANKNOLOGY Region: __ �. `�' Unit State Lic. # l� "� p State: (" j <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 />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />