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Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2343362 Date: 1/15/2020 <br /> Site Name/ID: CHEVRON 210997 (N-4693) <br /> Address: 1442A COLONY DR. <br /> City: RIPON State: CA Zip: 95366 <br /> How Inspected: Line Test r NFPA 30A r PEI RP1200F Other r <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/Fail Comments <br /> 1/2 87 r R-1 r Pass r Fail r Not Tested <br /> 1/2 91 W W F Pass r Fail r Not Tested <br /> 3/4 87 W 5-0 r Pass r Fail r Not Tested <br /> 3/4 91 F%O I✓ F Pass r Fail r Not Tested <br /> 5/6 87 W W F Pass r Fail r Not Tested <br /> 5/6 91 W r F Pass r Fail r Not Tested <br /> 7/8 87 W W r Pass r Fail r Not Tested <br /> 7/8 91 W W r Pass r Fail r Not Tested <br /> 9/10 87 F rv-0 r Pass r Fail r Not Tested <br /> 9/10 91 W W r Pass r Fail r Not Tested <br /> 11/12 87 W W W Pass r Fail r Not Tested <br /> 11/12 91 P r Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Jarrod Cooke <br /> Signature:—� <br /> Environmental Compliance for Petroleum Systems <br /> ©2020 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />