Laserfiche WebLink
.� Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2350225 Date: 6/16/2021 <br /> Site Name/ID: Chevron 212470 <br /> Address: 3400 N MacArthur Drive <br /> City: Tracy State: CA Zip: 95376 <br /> How Inspected: Line Test F NFPA 30A I— PEI RP1200 W Other F <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 40 W r Pass r— Fail F Not Tested <br /> 1/2 87 Wo R r Pass r— Fail r- Not Tested <br /> 1/2 91 Wo � r Pass r— Fail F Not Tested <br /> 3/4 40 I r Pass F Fail r- Not Tested <br /> 3/4 87 WO Pass r- Fail I— Not Tested <br /> 3/4 91 F R r Pass r Fail I— Not Tested <br /> 5/6 87 F- [YA r Pass F Fail r- Not Tested <br /> 5/6 91 R. R r Pass F Fail r Not Tested <br /> 7/8 87 F- R, P Pass r- Fail r Not Tested <br /> 7/8 91 r Pass F Fail i— Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: ^ <br /> Environmental Compliance for Petroleum Systems <br /> ©2022 Tanknology Inc.,Austin, TX.All rights reserved.tanknology.com <br />