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ULV u <br /> i aC U C iTM:TET� T <br /> TECHNOLOGY FOR TANKS I s" <br /> ` .Te.,. ..� . ,., . .. 1 <br /> AND THEIR ENVIRONMENT - <br /> S.O.# <br /> Owner Site #_ --�/ Date -_1✓ �- �, r� W i <br /> Invoice Name/Address <br /> Phone <br /> au <br /> Site Name/Address A,,J4 __ C/� ! ( a_b <br /> 7 Attn: <br /> TANKS LINES Leak Det' <br /> Ullage <br /> See ' TANKS and LINES Tested to CFR-40 Parts <br /> Tank Dipped Dipped Probe Water Bubble Air Line Final Exist 280-281 dt NFPA329 Specs. <br /> D■g• Dia.& Water Product Water Ingress Ingress Ingress TANK Line Delivery LINE LINE Leak LINE LD(s) NEW <br /> For Material Level Level Level Detected Detected Detected ■ Material Syst.Type TEST TEST Rate ■ Pass/ LD(S)- <br /> LOC. ST/ ■ ■ ■ ■ ■ ■ Tight ■ ■ ■ ■ <br /> ■ Tight Fail/ Tested Other. <br /> FRP/ START START START or ST/ START END or Or g,; <br /> Tk Tank Tank Lined END END END Yes/No Yes/No Yes/No Fail Line u FRP PS/SS/GS TIME TIME GPH fail NONE PASS <br /> Product Capacity <br /> Diameterao �1 c � Exist LOSN/ Ol/MG:PSI <br /> IrShW _—.�/ <br /> 1 1 ,!y�� �o Naw LO SNMOL/MFG:- - s <br /> 1 U� ��/ ate t o : at umP I <br /> 1( <br /> S7— <br /> � Start Time: ,S Time of Test: �,�{ Mf .: r <br /> T n 1' .W n f! nC mOrtie er_�� � LINE TEST F51 <br /> r D7apenser SheOr Valves <br /> End Time:tameter �9 / /y g. to 1 /� <br /> ^ l s �e /v' Q�!® SJ / - Exist LO SNlb1DUMFG.a 3 s/s8t/ 4ea, /e-r <br /> ( ' ( New LD SN/MDL/MFG' %�j " <br /> '.^✓y./ (J/J 1 a aten Percent o tat <br /> S 1— Start Time: S s` Time of Test: �� Mf mp .G+ ! S LINE TEST <br /> End Time: ®�! Its <br /> nt 1: '� be <br /> Ent Inc <br /> re stems'I Dispenser Shear valves y - <br /> tameter yJ meq ®�� O ataeskwl G W <br /> w ? � V <br /> 95 Exist LU S^i/MDVMFG: <br /> r ( 3, O!QV <br /> — <br /> 10—S start-n� TNaw LD SN/MDL/MFG: <br /> r f M} <br /> End Ti V G:7r nuromUNE TEST PSI rP.Ii e e —r Dser$hearvalves <br /> Operate � Qv.✓Z+�'Cf�.y✓J`®®/AG-JO <br /> ntry:ter Exist LO SN/MDL/MFG: - <br /> New LO SN/MDL/MFG: - <br /> ater p <br /> Start Time: Time of Test: at Mfg UNE TEST PSI <br /> End Time: ast 1: n roe nc tnometeren <br /> Dispenser Shear Valves <br /> :ameter r ate es/no <br /> Exist LD SN/MDL/MFG: <br /> New LO SN/MOL/MFG <br /> ater rcent o : at Pump <br /> $tart Time: <br /> Not <br /> Test: Mfq.. LINE TEST PSI: <br /> End Time: �, an o nc urometer <br /> T I: Entry: r Dispenser Shear Valves-`Diameter Operate,_ ate(Yes/no) <br /> - <br /> Exist LOSN/MDL/MFG: - <br /> atene p <br /> New LD SN/MDL/MFG. <br /> cent o t at um <br /> Start Time: Time of Test Mfg.: LIh1E TEST PSt , <br /> Ti an r nc:nometer <br /> T I: n r t' D' ser Shear Valves <br /> n <br /> to (12s/no <br /> N N L Y Re a2-- c <br /> Tan knoiogy Corporation Internat'ona <br /> TA K • •G Region: Unit State Lic. #a/_7/AK State:__ - ----5225'Hoilister St, Houston;TX 77040 s' <br /> NOTE: Original VaCUTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 :-0 FAX 03) 690-2255 '-' <br /> TAK-02 <br />