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TANKNOLOGY VacuTeCtTm TEST REPORT <br /> S.O. # 174768 <br /> Date 06/24/96 <br /> Owner QU I K STOP Site # 7 6 <br /> Phone <800> 253-8054 <br /> Invoice Name/Address USTMAN INDUSTRIES, INC . 12265 W . BAYAND AVE . #110 LAKEWOOD, CO 80228 <br /> Attn: BRUCE McDUFFY <br /> Site Name/Address QUIK STOP 1130 S . OLIVE AVENUE STOCKTON , CA 95215 <br /> TANKS LINES Leak Det <br /> Ullage TANKS and LINES Tested to CFR-40 Parts <br /> See Tank Dipped Dipped Probe Water Bubble Air <br /> Line Final Exist 280-281 &NFPA 329 Specs. <br /> Diag. 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 e Material Syst.Type TEST TEST Rate ® Pass/ LD(s) <br /> Loc. ST/ ■ ■ B ® ■ la Tight M e ■ ■ ■ Tight Fail/ Tested <br /> FRP/ START START START or ST/ START END or or & Other: <br /> Tank Tank Lined END END END Yes/No Yes/No Yes/No Fail Line# FRP PS/SS/GS TIME TIME GPH Fail NONE PASS <br /> Product Capacity <br /> 1 SUP iameter 10000 ` N 1 ST PS 10 : 32 11 :02 0 . 000 T P - Exist LOSNRADL/MFG: UNREADABLE XLD <br /> UNL 1001 038 oc oo - 0-04 <br /> New/2nd LO SN/MDL/MFG: <br /> ateria Percent of Fill atum <br /> Start Time: 10 1 Time of Test: 38 . Mf .p. TOKHEIM LINE TEST Psi 50 . 00 <br /> ,. an robe Inclinometer Dispenser shear Valves <br /> FRP End Time: Test PSI: — Ent Decrees: n-2 Operate es/no v <br /> 2 REG 10000 Iameter 00 .`100 442 . 0 00 . 001 N N N T 2A ST PS 11 : 07 11 :37 0 . 000 T P Exist LD SN/MDL/MFG: 92194-7356 FX1 <br /> UNL <br /> 9400 . 1001042 0 0 0 . 0 0 New/2nd LD SN/MDL/MFG: <br /> Material ercento I at ump <br /> Start Time: 10 1 Time of Test: 43 . Mfg.: TOKH E I M LINE TEST PSI 50 . 00 <br /> an robe Inc mometef Dispenser shear valves <br /> End Time: 1 9 Test PSI: — Entr : F T T,T. De rees: 7 Operate es/no) <br /> Diameter Exist LD SN/t.IDL/MFG <br /> New/2nd LDSN/MDL/MFG: <br /> aterial ercent o III at ump <br /> Start Time: Time of Test: Mfg.: LINE TEST PSI <br /> lanK Probe nc Inometer Dispenser Shear valves <br /> "I 5End Time: Tet PSI: Enta: Decrees: Operate es/no <br /> iameter <br /> Exist LD SN/AIDL/MFG: <br /> New/2nd LD SN/MDL/MFG: <br /> Material Percent of Fillat Mfg.:ump <br /> Start Time: Time of Test: LINE TEST PSI <br /> Tank ro a Inclinometer Dispenser Shear valves <br /> End Time: Test PSI: Ent[y: D rees: Operate es/no <br /> ame er <br /> Exist LD SN/A1DL/MFG: <br /> New/2nd LD SN/MDL/MFG: <br /> mp <br /> atenal ercent o I I at u <br /> Start Time: Time of Test: Mf .. LINE TEST PSI: <br /> Tank robe Inclinometer - Dispenser Shear valves <br /> End Time: Test PSI: EntEy: Degrees: Operate es/no <br /> Diameter <br /> Exist LO SN/MDL/MFG: <br /> New/2nd LD SN/MOL/MFG: <br /> atenaPercent of Fijiat PUMP <br /> Start Time: Time of Test: Mfg.: LINE TEST PSI <br /> an robe Inclinometer Dispenser Shear valves <br /> End Time: Test PSI: Ent : D r s: Operate es/riot <br /> Tanknology Corporation International <br /> TANKNOLOGY Region: WESTERN REGION Unit # 015 State Lic. # State: CA 5225 Hollister St., Houston, TX 77040 <br /> NOTE: Original VacuTect Data recordings are reviewed by Tanknology's Audit Control Department and maintained on file. (800) 888-8563 • FAX (713) 690-2255 <br /> TAK-01 <br />