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Impact Valve <br /> .LAP Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2383551 Date: 11/13/2025 <br /> Site Name/ID: CHEVRON #99840 (N31) <br /> Address: 4344 E WATERLOO RD @ 99 <br /> City: STOCKTON State: CA Zip: 95215 <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 87 W Wo FY-1 Pass r- Fail F Not Tested <br /> 1/2 91 r We r Pass r- Fail F Not Tested <br /> 3/4 87 r r r Pass r- Fail r Not Tested <br /> 3/4 91 FV r WO Pass r- Fail r- Not Tested <br /> 5/6 87 r We r Pass r Fail r Not Tested <br /> 5/6 91 Wo r ry-1 Pass r- Fail F Not Tested <br /> 7/8 87 P-1 r r Pass .F Fail r Not Tested <br /> 7/8 91 Wo r r Pass r- Fail r Not Tested <br /> 9/10 87 r r WO Pass F Fail F Not Tested <br /> 9/10 91 r We r Pass F Fail F Not Tested <br /> 11/12 87 r FY-1 Pass F Fail F Not Tested <br /> 11/12 91 '+ r Fv-1 Pass F Fail F Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: // '- <br /> Environmental Compliance for Petroleum Systems <br /> ©2025 Tanknology Inc.,Austin, TX.All rights reserved. tanknology.com <br />