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n. IV " �� t <br />:ip'Tanknology Impact Valve <br />Inspection ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />Impact Valve Operational <br />Inspection <br />Work Order: 2328115 Date: 9/19/2016 <br />Site Name/ID: 7 -ELEVEN #19976, MKT 2368 <br />Address: 1399 N. MAIN ST. (o? NORTHGATE <br />City: MANTECA State: CA Zip: 95336 <br />Dispenser <br />Number <br />Grade <br />Secure <br />Mount? <br />Valve <br />I Lock? <br />Pass/ Fail <br />Comments <br />1/2 <br />87 <br />W <br />r <br />r« Pass r Fail r" Not Tested <br />1/2 <br />91 <br />F7 <br />I✓ <br />r* Pass r Fail f Not Tested <br />3/4 <br />87 <br />W <br />W <br />�*' Pass r Fail r Not Tested <br />3/4 <br />91 <br />W <br />I✓ <br />r: Pass f Fail i Not Tested <br />Technician Comments: <br />Technician Name: Jeffrey Crisostomo <br />Signature: <br />Environmental Compliance for Petroleum Systems <br />©2016 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com <br />