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Impact Valve <br /> .j Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2363950 Date: 1/24/2024 <br /> Site Name/ID: Rebel Store#0376 <br /> Address: 3725 Tracy Blvd <br /> City: Tracy State: CA Zip: 95304 <br /> How Inspected: Line Test r NFPA 30A r PEI RP1200r Other r <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? E Pass/ Fail Comments <br /> 112 87 rv- F./- rV Pass r Fail r Not Tested <br /> 1/2 91 r P r Pass r Fail r Not Tested <br /> 3/4 87 r r Pass r Fail r Not Tested <br /> 3/4 91 i✓ Wo r Pass r Fail r Not Tested <br /> 5/6 87 W W P Pass r Fail r Not Tested <br /> 5/6 91 Wo W r Pass r Fail r Not Tested <br /> 7/8 87 1--/ W r Pass r Fail r Not Tested <br /> 7/8 91 FV- (✓ r Passr- Fail r Not Tested <br /> 9/10 87 FV (✓ r Pass r Fail r Not Tested <br /> 9/10 91 r F Pass r Fail r Not Tested <br /> 11/12 87 Rl- r Pass r Fail r Not Tested <br /> 11/12 91 P !6 r Pass r Fail r Not Tested <br /> 13/14 40 rv- r r Pass r Fail r Not Tested <br /> 15/16 40 r i✓ PO Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar Algnature: �` 1�4� <br /> Environmental Compliance for Petroleum Systems <br /> ©2024 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />