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- L_ <br />o <br />V c ect"m TEST REPORT <br />Leak Det <br />S.O. # <br />157359 <br />TECHNOLOGY FOR TANKS <br />ANO THEM ENYMONYENT <br />Ullage <br />Date <br />06/07/96 <br />Owner QUICK STOP <br />- Site # 39 <br />TANK^ and LINES Tested to CFR -40 Parts <br />See <br />Diag. <br />Phone <br /><800> 253-8054 <br />Invoice Name/Address USTMAN INDUSTRIES, <br />INC. 12265 W. BAYAND AVE. #110 LAKEWOOD, CO 80228 <br />Line <br />Attn: <br />BRUCE McDUFFY <br />Site Name/Address QUICK STOP 2285 E. <br />FREMONT STREET STOCKTON, CA 95205 <br />280-2E1 & NFPA 329 Specs. <br />TANKS <br />LINES <br />Leak Det <br />Ullage <br />TANK^ and LINES Tested to CFR -40 Parts <br />See <br />Diag. <br />Tank Dipped <br />Dipped Probe Water Bubble <br />Air <br />Line <br />Final <br />Exist <br />280-2E1 & NFPA 329 Specs. <br />Dia. & Water <br />Product Water Ingress Ingress <br />Ingress TANK <br />Line <br />Delivery <br />LINE <br />LINE <br />Leak <br />LINE <br />LD(s) <br />NEW <br />For <br />Material Level <br />Level Level Detected Detected <br />Detected ■ <br />Material <br />Syst. Type <br />TEST <br />TEST <br />Rate <br />■ <br />Pass/ <br />LD(s) <br />ST/ ® <br />■ ■ ■ ■ <br />■ Tight <br />■ <br />■ <br />■ <br />■ <br />■ <br />Tight <br />Fail/ <br />Tested <br />FRP/ START <br />START START <br />or <br />ST/ <br />START <br />END <br />or <br />or <br />& <br />Other: <br />Tank <br />Tank <br />Lined END <br />END END Yes/No Yes/No <br />Yes/No Fail <br />Line # <br />FRP <br />PS/SS/GS <br />TIME <br />TIME <br />GPH <br />Fail <br />NONE <br />PASS <br /># <br />Product <br />Capacity <br />1 <br />SUP <br />10000 <br />'a'"Bfef 01.2501027'. <br />00.411 N N <br />N T <br />1A <br />ST <br />PS <br />8:40 <br />9.10 <br />0.000 <br />T <br />P <br />- <br />Exist LDMUDUMFG: 40994-8431 XLD <br />U N L <br />Newnnd L/MFG: <br />9301.2501027 <br />. 2 00.3-9q <br />alerts Cent O I at Ump <br />Stan Time: 8 : 2 Time of Test: 24. Mf .: TOKH E I M <br />may, . " <br />� . , .. � , <br />.. <br />UNE TBSr$SI 50.00 <br />! <br />Q ' Ta`s't P I: — O O roe FILL Inclinometer _ 1 .80C <br />ST End rimDeorees: <br />oepe"seraamo valves y <br />2 <br />REG <br />10000 <br />'an -ter 01.5001045. 0 01.55 N N N T <br />2 <br />STS'. <br />9z15 <br />9.45 <br />43 <br />T <br />P <br />- <br />ExutLDUMFG: 10292-8916 XLD <br />9 01.500 045.0 01.55 <br />UNL <br />=YlMFG: <br />^," <br />LINE TEsF PSI 50.00 <br />also $ : 2 Time of Test' at 47. Mf mp T O KH E I M <br />Start Time: <br />" <br />2 a. a I valves Y <br />ST End Time: 10:4 Tst P is — 2. 0 Q Ent : FILL o urometer _ 1. 9 0 <br />tameter <br />Exist LD 54NDUMFG: <br />New/2nd `.D SN/MDUMFG: <br />LINE TEST PSI <br />Material—Cent O t at Pump <br />Start Time: Time of Test: Mfg.: <br />Dispenser Shear valves <br />anW- Probe Inclinometer <br />End t n Decrees: <br />Operate mo <br />Diameter <br />Exist LD SN/MDUMFG: <br />New/2nd to SN/MDL/MFG: <br />�. <br />LINE TES't PSl <br />at `cent o t at ump <br />Start Time: Time of Test: Mt .. <br />- <br />Operate (r gstear valves <br />Operate es/no <br />8rt be Tic urometer <br />End Ti t PSI: Ent • r <br />Diameter <br />Exist LD EN/MDUMFG: <br />New/2nd LD SN/MDL/MFG <br />� <br />� <br />LINE TEST PSI: <br />aterial Pet O t at Pump <br />Start Time: Time of Test: 10mg.: <br />,. .. <br />,. <br />. _ _ <br />DispenserShear Valves <br />Tank ProbenC IrlOmetef <br />End Ti I: Tit <br />rate =ysMo <br />Diameter <br />Exist LD EN/MDVMFG: <br />Naw/2ndLD SN/MDUMFG: <br />f <br />LINE TES" PSI: <br />Materialren p I 8t u <br />Start Time: Tim of Test: <br />Dispense" Shear Valves <br />artProbe <br />Eng i T <br />O rate =aesmo <br />TANKNOLOGY Region: WESTERN REGION Unit* 057 State Lic. # 1404 <br />NOTE: -original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. <br />TAK- 11 <br />Tanknology Corporation International <br />State: CA 5225 Hollister St., Houston, TX 77040 <br />(800) 888..-8563 • FAX (713) 690-2255 <br />