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E <br />LOG " <br />® V A■ _ /��i \® T T <br />CNNOLOO.fOR TA NR§ ® �YU@CtTfrl■■D THEIR ENVIRONMENT V lw- <br />ustomer is. _.-- - -- - ----- — Site # >//9c <br />Invoice Name/Address <br />Site Name/Address 12,6 16yoo k®QL3tpr La�- �Co3.30 <br />See <br />Diag <br />For <br />Loc <br />ank <br />Of <br />ill <br />L <br />3 <br />4 <br />S.O.# /3�--- <br />Date — <br />Phone <br />Atfn: -- --- <br />Tanknology Corporation International <br />TANKNOLOGY Region: Unit # 23 State Lic.# ® Z�gz State: 4960-F Allison Parkway <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 • (800) 826-5837 IF FAX (707) 446-2495 <br />FORM 14 <br />TANKS <br />LINES <br />Leak Det <br />-_--- <br />— <br />----- _ ---- -_--- <br />------- <br />_ <br />NEW <br />TANKS and LINES Tested to <br />Tank <br />Dipped <br />Dipped <br />Probe <br />Exist <br />LD(s) <br />CFR -40 Parts 280-281 & NFPA <br />Tank <br />Dia. & <br />Water <br />Product <br />Water <br />weer st,af>te <br />usage TANK <br />n� <br />us <br />LINE <br />LINE <br />Final <br />LINE <br />LD(s) <br />Tested <br />329 Specs. <br />Product <br />Material <br />ST/ <br />Level <br />Level <br />Level <br />ingress ingress <br />■ <br />Ingress Ti t <br />STIFF <br />a <br />TEST <br />■ <br />TEST <br />■ <br />Leek <br />■ <br />Tight <br />Pass/ <br />Fail/ <br />& <br />Other: <br />& <br />FRP! <br />■ <br />START <br />■ <br />START <br />■ <br />START <br />Detected Detected <br />Detected r <br />or <br />START <br />END <br />Rate <br />■ <br />a <br />or <br />Pass <br />— <br />Model <br />Gaiions' <br />Lined <br />■ ■ <br />END END END Yes/No Yes/No <br />■ <br />Yes/No Fail Line# <br />syaLT <br />psi es <br />TIME TIME GPH Fail <br />NONE <br />PDdcct <br />Diameter <br />_ <br />ag <br />1 A <br />Nbbm <br />,t X3 o <br />000 <br />PPW <br />Exist LD SN: <br />New LD SN: <br />fG/ `' <br />9 `L% <br />1 B <br />F• P_ <br />GROWN <br />I.d10rW <br />—l�0 <br />g—Porcen�totFii <br />Start Time: 0 $d� at Tart Time: 7? Z <br />--1�1Q <br />Burp — - 1C <br />Mtgr. re— <br />Syu.Type <br />LINE TEST PSI <br />_ <br />End Time: /O,S" <br />Prcbs <br />EMryPoIrn: <br />---- -- <br />�� •�L <br />Ohpan§ar8hwarVYw§ <br />oparatspvalnoY <br />TANK p� 1D <br />TEST PSI: ` pv <br />PDduct <br />Diameter <br />2A <br />Maw" <br />4�2 <br />Exist LD SN: <br />New LD SN: <br />44'!— <br />7 0�� (�_ (7 <br />j\ll7 2Bi` <br />LINE TEST PSI <br />GRIOns <br />Mawrtal <br />start Time: <br />o:936 <br />Percent OfI'M <br />at Teri The: <br />7 /i3 <br />Pump_ <br />M4, 9. T <br />2C <br />Syac.Typs <br />End Time: <br />Paha <br />Entry Point: <br />_ [,�. <br />TANG <br />TEST PSI: ", �D <br />2D <br />DbpanasrSharValwa <br />operate p�s§!rw): YzS <br />-� <br />PS <br />Product <br />palnater <br />///00 <br />t00 <br />,ig <br />3A <br />m"" <br />/44::20 <br />PA55 <br />Exist LD SW -3o-750-000-3 <br />New LD SN: <br />(6 <br />I'aGas" <br />_ g �� <br />3B <br />-AP <br />1.4101101 <br />PeresrxofFM <br />Start Time: /3 al Tart Tlma: 7310 7 <br />Pump 3CC <br />AMyr: <br />8yaLTYP6 <br />LINE TEST PSI <br />'Sa <br />End Tonne: / yZ/ <br />Probe <br />Entry Point: <br />r <br />� -/L� <br />TANG <br />TEST PSC 'y® <br />3D <br />DhWnrSh9wVa1ve9 <br />ope a o bostno): r <br />..K <br />P5 <br />PDduct <br />Diameter <br />^ <br />/� <br />4A <br />R41rtY <br />U <br />Exist LD SN: <br />-- <br />New LD SN: <br />lAk-wr(c/ <br />X.O O <br />f7 4B <br />®lune <br />A410rw <br />Percent of FM <br />Pump 4C <br />SYM•TYPO <br />UNE TEST PSI <br />Start Time: <br />at Tart Time: <br />, <br />Iftr: NOIR <br />End Tme: <br />Prcb <br />Entry Point: <br />t(.t* <br />TAW <br />TE PSl:rf�®L <br />4D <br />I <br />D#EpenwShearVaives <br />oparawbralnoY <br />Sr <br />Tanknology Corporation International <br />TANKNOLOGY Region: Unit # 23 State Lic.# ® Z�gz State: 4960-F Allison Parkway <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 • (800) 826-5837 IF FAX (707) 446-2495 <br />FORM 14 <br />