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4-111111111, Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2362087 Date: 9/14/2023 <br /> Site Name/ID: 7-ELEVEN 41187 <br /> Address: 1829 N Wilson Way <br /> City: Stockton State: CA Zip: 95204 <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 /> 112 87 W (✓ r Pass r Fail r Not Tested <br /> 1/2 91 r W Iy—O Pass r Fail r Not Tested <br /> 3/4 40 W W I✓ Pass r Fail r Not Tested <br /> 3/4 87 W (✓ I✓ Pass r Fail r Not Tested <br /> 3/4 91 W W r Pass (- Fail r Not Tested <br /> 5/6 87 W r Pass r Fail r Not Tested <br /> 5/6 91 Wo W r Pass r Fail r Not Tested <br /> 7/8 87 R (✓ Pl Pass r Fail r Not Tested <br /> 7/8 91 W W I✓ Pass r Fail r Not Tested <br /> 9/10 87 [✓ rV-1 (✓ Pass r Fail r Not Tested <br /> 9/10 91 1, W P Pass r Fail r Not Tested <br /> 11/12 40 W F—y� R Pass r Fail r Not Tested <br /> 11/12 87 R 17' P Pass r Fail r Not Tested <br /> 11/12 91 W F,7' 117 Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Brent Bowen <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2023 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />