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Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2343354 Date: 1/2/2020 <br /> Site Name/ID: CHEVRON 201761 <br /> Address: 1103 S. MAIN ST. PERMIT NUMB. N-3315 <br /> City: MANTECA State: CA Zip: 95337 <br /> How Inspected: Line Test r NFPA 30A r PEI RP1200r Other r <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 r l7v Pass r Fail r Not Tested <br /> 1/2 91 W r Pass r Fail r Not Tested <br /> 3/4 87 W W 17 Pass r Fail r Not Tested <br /> 3/4 91 W W W Pass r Fail r Not Tested <br /> 5/6 87 r rv-0 r Pass r Fail r Not Tested <br /> 5/6 91 W 5-0 W Pass r Fail r Not Tested <br /> 7/8 87 170 r F Pass r Fail r Not Tested <br /> 7/8 91 W F r Pass r Fail r Not Tested <br /> 9/10 87 F F%O- W Pass r Fail r Not Tested <br /> 9/10 91 W rv—' F Pass r Fail r Not Tested <br /> 11/12 87 W 17 W Pass r Fail r Not Tested <br /> 11/12 91 F W r Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Br�entt Bowen <br /> Signature: � " .i" <br /> Environmental Compliance for Petroleum Systems <br /> ©2020 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />