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4-1 <br />iiri�Mt <br />1 L `V LM I V 4 <br />TanK1'�Ci14gy <br />impact Valve <br />Inspection <br />FEB 1 12014 <br />Impact Valve Operational <br />ENVIRONMENTAL <br />Inspection <br />HEALTH DEPARTMENT <br />Work Order: <br />2314910 <br />Date: 2/312014 <br />Site Name/ID: <br />CHEVRON 210997 N-4693 <br />Address: <br />1442A COLONY DR. <br />City: <br />RIPON <br />State: CA <br />Zip: 95366 <br />Dispenser <br />Secure <br />Valve <br />Number <br />C,rade <br />Mount? <br />Lock? <br />Pass/ Fail <br />Comments <br />1f2 <br />87 <br />f V-1 <br />fy-1 <br />t: Pass!" Fail C Not Tested <br />112 <br />91 <br />P-1 <br />W <br />+ Pass Fail r Not Tested <br />314 <br />87 <br />FY -1 <br />(v-1 <br />(? Pass r Fail f Not Tested <br />314 <br />91 <br />Puss r Fail Not Tested <br />516 <br />87 <br />F <br />I++ <br />r Pass f ` Fail l" Not Tested <br />516 <br />91 <br />W <br />1 <br />C: Pass r Fail Not Tested <br />718 <br />87 <br />r' <br />r✓ <br />r Pass r Fail r Not Tested <br />718 <br />91 <br />W <br />ry <br />G Pass r Fail r Not Tested <br />9110 <br />87 <br />r <br />W <br />r+ Pass r Fail r Not Tested <br />g1 <br />r <br />I✓ <br />* Pass r Fail C Not Tested <br />f <br />87 <br />r <br />� <br />r Pass f Fail f Not Tested <br />91 <br />Fv <br />F <br />T Pass i Fail r Not Tested <br />Technician Comments: <br />Technician Name: <br />Jarrod Cooke <br />Signature: <br />Environmental Compliance for Petroleum Systems <br />02014 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com <br />