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Triangle Environmental Inc <br />2525 West Burbank Blvd., Burbank, CA 91505-2302 <br />(88118))840-702200Fax: (8188)8840-69229 <br />T.E.IUST FAC LIT INS ECTIO / e UDI MELT <br />Facility: <br />QUIKSTOP #00148 <br />205 W. LOCKFORD <br />LODI, CA 95240 <br />Work #: 7405627 <br />Test Date: 11/21/01 <br />County: SAN JOAQUIN <br />Cross Street: <br />Status Type Cross Street: Number of <br />N= Not Present or Observed Dlsp. Hoses <br />C= Coaxial P= Pressure F = Flex <br />S= Satisfactory <br />D= Dual A= Angle Check M= Metalic Regular: 2 4 <br />U= Unsatisfactory <br />N= No Stage i V= Vertical Check <br />Fill Cover: S Plus: 2 4 <br />Fill Cap: <br />S <br />Fill Cap Seal: <br />S <br />Drop Tube: <br />S <br />Strike Plate: <br />G <br />V/R Cover: <br />S <br />V/R Cap: <br />S <br />V/R Seal: <br />S <br />V/R Dry Break: <br />S <br />Sub Pump: <br />S <br />Sub Pump Cover: <br />S <br />Overfill: <br />S <br />Overfill Mfgr: OPW <br />Comments: <br />Fill Type: D <br />Product Line Type: P <br />Tank Swing Joint Type: F <br />Dispenser Swing Joint Type: F <br />® Status <br />2 <br />N= Not Present <br />Diesel: <br />S= Satisfactory <br />0 <br />U= Unsatisfactory <br />Impact Valve: <br />S <br />Vertical Check Valve: <br />N <br />Fill Spill Containment: <br />S <br />Fill Spill Mfgr: OPW <br />Dispenser Containment: <br />S <br />Sub Pump Containment: <br />S <br />Compliance Detail: (List items that need immediate attention.) <br />Premium: <br />2 <br />4 <br />Diesel: <br />0 <br />0 <br />Kerosene: <br />0 <br />0 <br />Total # of Gas Nozzles <br />4 <br />® Stage II <br />B= Balance <br />A= Asist <br />System Type: B <br />Assist Mfgr: N/A <br />