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AffKNOLOCAff"' <br />TECHNOLOGY FOR TANKS <br />AND THEIR ENVIRONMENT <br />I, 01Y® <br />Owner <br />Invoice Name/Address <br />Site Name/Address o <br />rs�3 <br />6 . <br />S.O. # 1-3196; Y <br />Site # g9VyZaDate �%a -, <br />Phone ,5 <br />Attn: V <br />TANKNOLOGY Region: 99�17 <br />- Unit # p�_ State Lic. # �' _ State: <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audtlt Control Department and maintained on file. <br />TAK-02 <br />f' <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />I"^V <br />TANKS <br />LINES <br />Leak <br />Det <br />See <br />Ullage <br />Diag <br />Tank <br />Dipped <br />Dipped <br />Probe <br />Water <br />Bubble <br />Air <br />TANKS and LINES Tested to CFR -40 Parts <br />0 <br />1 <br />Dia. & <br />Material <br />Water <br />Level <br />Product <br />Level <br />Water <br />Level <br />Ingress <br />Detected <br />Ingress <br />Detected <br />Ingress <br />Detected <br />TANK <br />a <br />Line <br />Material <br />Line <br />Delivery <br />Syst. Type <br />LINE <br />TEST <br />LINE <br />Final <br />Leak <br />LINE <br />Exist <br />LD(s) <br />NEW <br />280-281 & NFPA 329 Spec's. <br />ST/ <br />■ <br />■ <br />■ <br />■ <br />TEST <br />Rate <br />■ <br />Pass/ <br />LD(s) <br />Tank <br />Tank <br />Tank <br />FRP/ <br />START <br />START <br />START <br />a <br />■ <br />Tight <br />or <br />m <br />ST/ <br />a <br />■ <br />a <br />® <br />Tight <br />Fail/ <br />Tested <br />Other: <br /># <br />Product <br />Capacity <br />Lined <br />END <br />END <br />END <br />Yes/No <br />Yes/No <br />Yes/No <br />Fail <br />Line st FRP <br />PS/SS/GS <br />START <br />TIME <br />END <br />TIME <br />GPH <br />or <br />Fail <br />or <br />NONE <br />& <br />PASS <br />1 <br />Diameter <br />�b <br />? <br />�� <br />� <br />�� <br />-> <br />(f <br />r <br />/� <br />Exist LO SN/MDL/M=G <br />((ff <br />O//�qtr <br />l 1 <br />stens <br />rcent o I at <br />r <br />J7 <br />New LD SN/MDL/l, G <br />! <br />Start Time: <br />3 <br />Time of Test: <br />U <br />Mfmp /? <br />II6 <br />�y <br />LINE TEST PSI <br />Ti ® <br />an <br />I: — s G <br />robenc <br />n <br />/ • <br />inometer <br />r <br />Dispenser Shear Valves, <br />Operate es/n0 <br />-..r <br />.1h� <br />Iafne er <br />® <br />O r r�C/ <br />�� <br />r7/ (,7 <br />��fi, <br />Ps� <br />Exist LD SN/MDL/MFG�Di�s%//teev{ <br />C✓ <br />r+' V V <br />Or <br />v <br />14 <br />7 <br />aferl <br />Start Time: <br />Percent o I at <br />Time of Test: <br />� <br />ump <br />Mt .. <br />,� - GQ <br />New LD SN/MDL/MFG. <br />LINE TEST PSI <br />Dispenser Shear Vara s <br />/i. End Time: an roe nc urometer 1 • �y <br />��N T Ent De tees: / <br />_ <br />0 <br />la ter <br />!0 <br />I` <br />t <br />�^' <br />5P <br />Ps <br />(✓ <br />3 • <br />�V <br />Operate (es/no) VO if <br />a J� <br />�H( <br />E xisl LD SN/MDL/PIFG: [ QP / % i ✓ �,@ tQ 9 <br />v <br />/ V� r! y <br />0-00 <br />/ - 6 <br />� /V (� <br />�f✓(J <br />f'. <br />stem <br />^ <br />Start Time: �rY <br />rCBM O I a} <br />Time of Test <br />�� <br />Mfmp <br />New LD SN/MDL/WG <br />j <br />LINE TEST P$I r,/ <br />Dispenser Shear Vzi,es <br />O erste es/no <br />Tank nchnome er <br />End Ti ro <br />T f I: ® n r• r � <br />/ <br />lameter <br />a <br />6>0 <br />•V [7 <br />✓�%0 <br />Aj0 <br />� 1-- <br />j�j y <br />'Mz r <br />%i <br />�J�o <br />�%..? <br />�/ / <br />7 r <br />^ <br />tJ <br />r <br />Exist LD SN/MDL/MFG:'�,g,"/ <br />2p, / f <br />rov <br />iiv <br />14v <br />)) <br />A-110 <br />!vU <br />f <br />.7 <br />� <br />c� 7 7 /JC <br />stens <br />Start Time: <br />Percent o tat I-� <br />Time of Test: <br />pum <br />Mfg.p <br />New LD SN/MDL/MFG'. <br />LINE TEST PSI 3 (� <br />Tan ( roe nc Inometer <br />End Time: <br />n <br />'�/ <br />r <br />'" <br />Dispenser Shear Valles <br />Iameter <br />o erste t gismo e'' <br />Exist LD SN/MDL/MFG: <br />stens <br />Start Time: <br />Percent o t at <br />Time of Test: <br />Dmp <br />Mf .. <br />New LD SN/MDL/MF G. <br />LINE TEST Pyr <br />End Tim T n is Proa Inclinometer <br />Diameter <br />r <br />Dispenser Shear vahes <br />O erase (Yes/no) <br />DL/MFG: <br />stem <br />Start Time: <br />rcent TO I at <br />Time of Test: <br />❑mp <br />Mfg.: <br />=.LD <br />L/MFG <br />:n <br />r Valves <br />Tim en n1 : nc mOmeter <br />T I. n r <br />TANKNOLOGY Region: 99�17 <br />- Unit # p�_ State Lic. # �' _ State: <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audtlt Control Department and maintained on file. <br />TAK-02 <br />f' <br />Tanknology Corporation International <br />5225 Hollister St., Houston, TX 77040 <br />(800) 888-8563 • FAX (713) 690-2255 <br />I"^V <br />