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Work Order: 2223782 <br /> Form 1 <br /> Field Data Sheet <br /> Pressure Integrity Of Drop TubelDrain Valve Assembly <br /> Aduress: �v (:1tY: —l'Z L i lip:odaj 3'-) <br /> P`tasa 1 Sfstc.r- ype. 0. �-{ ♦ �asa..r Sysirm T}•ve. S , <br /> Date of I ast FIC-.rttctar Caul,ration G <�. Dale of Last F'•essura Device Caliornliun q ILS G'-LJ <br /> Test Results <br /> Product <br /> Nitrogen <br /> Grade Flowrate I Pressure Make/Model Spill Makel411odet Rotatable MakclModel Rotatable <br /> (GFH} {inches 510) Containment Bucket Product Adapter Vapor Adapter <br /> loo-ta <br /> Ccntme+rs: <br /> 4 <br /> Ile <br /> Ca 1c.-ria Air Resour•xs Board Scute-raer7.2(0': <br /> PROPOSED I P-201 1C Pvgc y <br /> Tanknology-NDE 8900 Shoal Creek,Building 200 Austin,Texas 78757 <br />