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��� ��� Impact Valve <br /> ogy Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2384503 Date: 6/24/2025 <br /> Site Name/ID: 7-ELEVEN 41216 <br /> Address: 770 W. Charter Way <br /> City: Stockton State: CA Zip: 95206 <br /> How Inspected: Line Test NFPA 30A r- PEI RP1200P Other r- <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 r FY-1 rv-1 Pass F Fail r- Not Tested <br /> 1/2 91 FY-1 r P-1 Pass F Fail r- Not Tested <br /> 3/4 40 Wo FV- rv- Pass F Fail r Not Tested <br /> 3/4 87 FY-1 r P-1 Pass F Fail r- Not Tested <br /> 3/4 91 W r P-1 Pass F Fail r- Not Tested <br /> 5/6 87 Wo F70 1v+ Pass r- Fail r Not Tested <br /> 5/6 91 Wo W rv- Pass F Fail r- Not Tested <br /> 7/8 87 FY-1 F7 rv-1 Pass F Fail r- Not Tested <br /> 7/8 91 Wo r W Pass F Fail r Not Tested <br /> 9/10 87 W r rv- Pass F Fail r Not Tested <br /> 9/10 91 FY-1 r P-0 Pass F Fail r- Not Tested <br /> 11/12 40 W FY-1 rv-0 Pass F Fail r Not Tested <br /> 11/12 87 Wo W R-0 Pass r- Fail r- Not Tested <br /> 11/12 91 W FY-1 W Pass F Fail r- 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 />