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L <br />rA <br />LKNO.,V C _ T: REPORT <br />TECNoNoIODYFop TANKS <br />AND TNEIp D"ONMENT - <br />Owner <br />Site # <br />Invoice Name/Address 1,�A CfL M i ►10 V',AVlfm <br />Site Name/Address <br />n� S.O. <br />Date <br />Phone <br />w - <br />Attn: <br />Tanknology Corporation International <br />hate:> > 5225 Hollister St., Houston, TX 77040 <br />s. <br />_J800) 888=8563 • FAX (713) 690-2255 <br />- <br />TANKS <br />LINES <br />Leak <br />Det <br />See <br />UAir <br />Diag. <br />Tank <br />Dipped Dipped Probe Water Bubble Air <br />TANKS and LINES Tested to CFR -40 Parts <br />For <br />Dia. & <br />Water Product Water Ingress Ingress Ingress TANK <br />Line <br />Line <br />Delivery <br />LINE <br />LINE <br />Final <br />Exist <br />280-281 & NFPA 329 Spec's. <br />Loc <br />Material <br />Level Level Level Detected Detected Detected ■ <br />Material <br />Syst. Type <br />TEST <br />TEST <br />Leak <br />LINE <br />LD(s) <br />NEW <br />ST/ <br />■ ■ ■ ■ 11111 111111Tight <br />■ <br />Rate <br />■ <br />Pass/ <br />LD(s) <br />ank <br />Tank <br />Tank <br />FRP/. <br />START START START or <br />ST/ <br />■ <br />® <br />START <br />® <br />END <br />® <br />Tight <br />Fail/ <br />Tested <br />Other: <br /># <br />Prddtict <br />Capacity <br />Lined <br />END END END Yes/No Yes/No Yes/No Fail <br />, <br />Line # <br />FRP <br />PS/SS/GS <br />TIME <br />I <br />TIME , <br />GPH - <br />or <br />Fail <br />or <br />NONE <br />& <br />PASS <br />LUameter <br />y <br />_ <br />1 <br />a`14 <br />Exist LD SN/MDL/MFG: <br />D <br />eF,' <br />V <br />t t <br />New LD SN/MDL/MFG: <br />ena <br />qq rcento Ill at um- <br />- <br />Staff Time: I�+� Time Of Test: 0 Mf -P <br />i-, <br />t� <br />y <br />� <br />LINE TEST PSI.. <br />d Ti Tank <br />P O i. O I fes: i !r `P <br />eter4 <br />!atena <br />W W <br />- <br />I IN� <br />�'�� � <br />� <br />Dispenser Shear Valves <br />O rete es/no <br />Exist LD SN/MDL/MFG: <br />- <br />New LD SN/MDL/MFG: <br />- roent o i at ump. <br />Start Time: Time of Test: Mf <br />LINE TEST PSI <br />noean <br />roe te <br />En Ti Test 1 Entry: D e. <br />Shear valves <br />Diameter <br />'� <br />1M./no) <br />e,., <br />Exist LD SN/MDL/MFG: <br />= <br />w <br />New LD SN/MDL/MFG: <br />atena <br />rcento I at ump <br />StartTime: Time of Test: Mf ,: <br />LINE TEST PSI <br />End Ti an (: nc lnometer <br />`�` <br />I <br />Dispenser Shear Valves <br />lameter <br />� <br />-::r <br />,ll „ <br />_operate (yes/no <br />JS <br />Exist LD SN/MDL/MFG: <br />c,, <br />Ks;i <br />sr I .. <br />2 <br />New LP SN/MDL/MFG: <br />LINE TEST PSI <br />,elan <br />Start Time: Time 0f Testl at M g P <br />an ro Inclinometer <br />�.,.. <br />zzy <br />3. 56�z <br />�. <br />-meter <br />n Time: T I: En <br />Dispenser Shear Valves ' <br />Tia <br />Operate es/np <br />Exist LD SN/MDL/MFG: <br />' <br />` <br />+, <br />_. ,F <br />..# <br />( y <br />J-." <br />: <br />New LD SN/MDL/MFG. ' <br />LINE TEST PSI: - <br />atene <br />K -7O I at : <br />Start Time:. Time Of Test: Mfmp _ .. <br />- Tank Inclinometer <br />',:. <br />ix <br />- <br />tt T.. <br />I nt <br />En r <br />Dispenser Shear Valves ' - <br />Diameter <br />- <br />��.,-:: �`, , £.�, <br />..- ` <br />�k <br />_es/no).-. <br />O rate <br />Exist LD SN/MDL/MFG: <br />- <br />.r -: „�:. <br />New LD SN/MDL/MFG <br />- -- <br />aten <br />cent o 1 at mp <br />Start Time: Time of Test: ► <br />.: <br />Tank <br />LINE TEST PSI. <br />... <br />ProDe <br />1i Test -. .; :< .. nC nanelef <br />OgnjQ�spenser ShearValves <br />_. <br />perate (yes/no) <br />Tanknology Corporation International <br />hate:> > 5225 Hollister St., Houston, TX 77040 <br />s. <br />_J800) 888=8563 • FAX (713) 690-2255 <br />