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49Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2301932 Date: 2/10/2012 <br /> Site Name/ID: CHEVRON #208117 <br /> Address: 755 S. TRACY BLVD <br /> City: TRACY State: CA Zip: 95376 <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass Fail Comments <br /> 1/2 87 Tv' Pass <br /> 1/2 91 Pass <br /> 3/4 87 � Pass <br /> 3/4 91 40 Pass <br /> 5/6 87 Pass <br /> 5/6 91 Pass <br /> 7/8 87 W Pass <br /> 718 91 V F7 Pass <br /> 9/10 87 v Pass <br /> 9/10 91 Pass <br /> 11/12 87 Pass <br /> 11/12 91 Pass <br /> Technician Comments: <br /> Technician Name: Jarrod Cooke <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2010 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com <br />