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,Lip Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2387481 Date: 1/5/2026 <br /> Site Name/ID: CHEVRON 201761 <br /> Address: 1103 S. MAIN ST. PERMIT NUMB. N-3315 <br /> City: MANTECA State: CA Zip: 95337 <br /> How Inspected: Line Test r NFPA 30A F- PEI RP1200 r Other r- <br /> Dispenser Secure I Valve <br /> Number Grade I Mount? Lock? I Pass/ Fail Comments <br /> 1/2 87 r to ry-1 Pass r- Fail r- Not Tested <br /> 1/2 91 W Wo IV Pass r Fail r- Not Tested <br /> 3/4 87 r W F%O Pass r' Fail F Not Tested <br /> 3/4 91 r r WO Pass r- Fail r Not Tested <br /> 5/6 87 ld r W Pass r Fail r Not Tested <br /> 5/6 91 r W FV Pass f- Fail r Not Tested <br /> 7/8 87 l ► P Pass r- Fail r- Not Tested <br /> 7/8 91 l ► W Pass r- Fail r- Not Tested <br /> 9/10 87 l ► W Pass r Fail r Not Tested <br /> 9/10 91 r '+ ry-1 Pass F Fail r- Not Tested <br /> 11/12 87 r r W Pass F- Fail r Not Tested <br /> 11/12 91 '+ r N-0 Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: // 14�-- <br /> Environmental Compliance for Petroleum Systems <br /> ©2026 Tanknology Inc.,Austin,TX.All rights reserved. tanknology.com <br />