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A KNO ©G VacuTectTm TEST REPORT <br />TECHNOLOGY FOR TANKS <br />AND THEIR ENVIRONMENT ' <br />Owner )UICK STOP Site # 3 <br />Invoice Name/Address USTMAN INDUSTRIES, INC. 32265 W. BAYAND AVE. #1.10 LAKEW001, <br />Site Name/Address QUTr'K STOP 2285 E' FREEMONT STREET STOCKTON, CA 95205 <br />S.O. # 115395 <br />Date 06/16/94 <br />Phone <800> 253-8054 <br />Attn: BRUCE McDUFFY <br />TANKS <br />LINES <br />Leak Det <br />e <br />g. <br />r <br />LD <br />Tank <br />Dia. & <br />Material <br />Dipped <br />Water <br />Level <br />Dipped Probe <br />Product Water <br />Level Level <br />Water <br />Ingress <br />Detected <br />Ullage <br />Bubble Air <br />Ingress Ingress <br />Detected Detected <br />TANK <br />■ <br />Line <br />Material <br />Line <br />Delivery <br />Syst. Type <br />LINE <br />TEST <br />Final <br />LINE Leak <br />TEST Rate <br />LINE <br />■ <br />Exist <br />LD(s) <br />Pass/ <br />NEW <br />LD(s) <br />TANKS and LINES Tested to CFR -40 Parts <br />280-281 & NFPA 329 Spec's. <br />c. <br />k <br /># <br />Tank <br />Product <br />Tank <br />Capacity <br />ST/ <br />Lined <br />■ <br />START <br />END <br />■ ■ <br />START START <br />END END <br />■ <br />Yes/No <br />■ ■ <br />Yes/No Yes/No <br />Tight <br />or <br />Fail <br />Line # <br />■■ <br />ST/ <br />FRP <br />PS/SS/GS <br />■■■ <br />START <br />TIME <br />END <br />TIME GPH <br />Tight <br />or <br />Fail <br />Fail/ <br />or <br />NONE <br />&Other: <br />TestedFRP/ <br />PASS <br />Diameter <br /># +: t ir <br />•`.. .:.� `.: ;� , ,. <br />w <br />L <br />;.- <br />.• <br />- - <br />a <br />.k <br />Exist LD SN/MDL/MFG: <br />U N L <br />`9 4 <br />New/2nd LD SN/MDL/MFG: <br />t lboo <br />u 1- 6 0 0 t t ..3 8 ol <br />LINE TEST PSI '^1 <br />Matena <br />77'rcent o I I at <br />Start Time: Time of Test: <br />Ump `k <br />Mf .: <br />rTr <br />S 1 <br />''� <br />Dispenser Shear Valves <br />O per es/no <br />an - o <br />En i 2 I• `'' nt : <br />II1CIinOmeter.- t <br />D r <br />r_ <br />y <br />lameter <br />• <br />� <br />r� 1 <br />Exist LD SN/MDLIMFG:_777,737 J L 1J l <br />UNL <br />94�� <br />New/2nd LD SN/MDL/MFG: <br />L ..t <br />- - , - <br />'""' •" <br />'. i <br />�' ` <br />.�; <br />�y <br />LINE TEST PSI •+ v <br />materialrcerlt <br />I at <br />Start Time: ''" Time of Test: L <br />Ump <br />Mf .: <br />�t'e <br />S .L <br />... <br />. ,.� ,,, �.., <br />Dispenser Shear Valves V <br />Operate es/no <br />1. d , an -- L . 7 r O <br />End Time: ' Test PSL' " `I Ent : <br />nC nOrne eF.. <br />D r s: <br />Diameter77 <br />Exist LO SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />- <br />LINE TEST PSI <br />atena <br />ercento I at <br />Start Time: Time of Test: <br />ump <br />Mfg.: <br />Dispenser Shear Valdes <br />operatees/no <br />an roe lnclinomFter <br />End Time: Test PSI: En r : D re <br />Diameter <br />z,• <br />r <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />LINE TEST PSI <br />Dispenser Shear valves <br />Operate es/no <br />Material <br />ercento i at Pump <br />Start Time: Time of Test: Mfg.:=- <br />an roenc Inometer <br />End Time: Test PSI: Entry: D r <br />Diameter <br />Exist LD SN/MDL/MFG: <br />- <br />New/2nd LD SN/MDL/MFG: <br />i <br />LINE TEST Psi: <br />-9a—te—rIa7 <br />Percento I at Hump <br />Start Time: Time of Test: Mfg.: <br />Dispenser =Valves <br />Operatees/no <br />an beInclinometer_. <br />End Time: Test PSI: Ent D <br />Diameter <br />a".`Y-� ��� v�"�''1�.w'',T-•�'t <br />Exist LD SN/MDL/MFG: <br />New/2nd LD SN/MDL/MFG: <br />Y <br />a <br />LINE TEST PSI: <br />Material <br />ercento I at ump <br />Start Time: Time of Test: Mfg.: <br />�� <br />Dispenser Shear Valves <br />O erase es/no <br />an robe Inclinometer <br />End Time: t P I: Entr D r <br />Tanknology Corporation International <br />TANKNOLOGY Region: WESTERN REGION Unit # _ State Lic. # State: 5225 Hollister St., Houston, TX 77040 <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 • FAX (713) 690-2255 <br />TAK-01 <br />