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LOG <br />...... - <br />VacuTect" m <br />TEST REPORT <br />TEGAND THEMErFOR TANKS <br />AND THEM ENVMtOrUtENT <br />ONMENT <br />- <br />S.O. # T1 <br />Owner �v <br />Site #qq7qo <br />1. <br />Dat e <br />Invoice Name/Address <br />Phone ��C3�� 4l 'J� i P I L % (0 <br />,� ` <br />Site Name/Address ittb 1�V�n Y� �C � o, <br />tt' tt "" l <br />Attn: <br />TANKS <br />f7iaa <br />LINES <br />Leak Det <br />Tank <br />Dia. & <br />Dipped Dipped <br />Water Product <br />Probe <br />Water <br />Ullage <br />Water Bubble Air <br />Line <br />TANKS and LINES Tested to CFR-40 Parts <br />• <br />Material <br />Level Level <br />Level <br />Ingress Ingress Ingress TANK <br />Detected Detected Detected <br />Line <br />Delivery <br />LINE <br />LINE <br />Final <br />Leak <br />Exist <br />LINE LD(s) <br />280-281 & NFPA 329 Specs. <br />NEW <br />Tank <br />Tank <br />ST/ <br />Tank FRP/ <br />■ ■ <br />START START <br />a <br />START <br />® <br />® ® ® Tight <br />Material <br />Syst. Type <br />TEST <br />TEST <br />Rate <br />■ Pass/ <br />LD(s) <br /># <br />Product Capacity Lined END END <br />END <br />or <br />Yes/No Yes/No Yes/No or <br />ST/fill <br />■ <br />Tight Fail/ <br />or or <br />Tested <br />& Other: <br />Line # <br />FRP <br />PS/SS/GS <br />TIME <br />TIME <br />GPH <br />Fail NONE <br />PASS <br />I meter <br />�[ <br />(�t�J i\. M atena <br />`• Start Time: <br />\ <br />� Pump c <br />� <br />Exist LO SN/MDL/MFG: <br />New LD SN/MOL/MFG: <br />rcent o ill at <br />Time of Test: <br />n Ti { <br />meter <br />� P I. <br />r0 a nC IrlOmetPi tyr <br />En r VlW rR� <br />= t - � <br />LINE TEST PSI <br />4/� <br />id U <br />�,. <br />Dis peoser Shear Valves <br />Y O rate s/no <br />- ° O r �L A <br />atena Ae1 V r-rcent <br />r� Start Time: �v G <br />o I at <br />Time of Test: <br />0 <br />j— <br />Mfa' <br />. <br />' i" Exist LD SN/MDL/MFG: <br />New LD SN/MDL/MFG: a <br />End Tim <br />7st PSS " <br />E�ibe rv:, urometer (� <br />e V <br />x- <br />LINE TEST PSI �O <br />ter <br />/7 �1t/' <br />f S: <br />Dispenser Shear Valves �+ <br />O erste es/no W <br />i KID Exist LD SN/MDL/MFG <br />i'(tV- /1 v 5" terra n <br />rcent o I at <br />Start Time: v <br />Time of Test: <br />Q Mfg... <br />New LD SN/MDL/MFG: <br />End <br />es P 1 <br />W D Omeler,�. <br />'"r , -... <br />LINE TEST PSI <br />r�ter <br />s.�� <br />r <br />R1 <br />Dispenser Shear Valves �+ <br />Os rate es/no "us <br />stella n n (^r <br />. <br />. <br />- -�� �r ,`GAJ�T <br />Ff0 Exist LO SN/MDL/MFG: <br />Start Time: /� /WjJ <br />rCen(O 1 at <br />Time of Test: <br />ump <br />v Mfg.: - <br />New LD SN/MDL/MFG: <br />n TI <br />18meter <br />T n <br />E ( 1 1 C IDOmeter.� <br />lhx r g: <br />`- ^• , , <br />LINE TEST PSI <br />r xl <br />nn <br />Dispenser Shear Valves 4E5 _ <br />V' <br />,. , <br />n <br />Exist LD SN/MDL/MFG: <br />Materialrcent <br />Start Time <br />o I at <br />Time O} TBSf: <br />Dmp <br />Mf .:End <br />New LD SN/MDL/MFG: <br />TI <br />2n <br />T i <br />nC in meter <br />r _ , ,eµ,�, xs LINE TEST PSI: <br />ameter a`°qr,.- <br />r <br />Dispenser Shear Valves <br />Ommte es/no <br />,, 77-1 <br />Exist LD SN/MDL/MFG: <br />. ... Stena - <br />Start Time: <br />t:@nt O 1 at <br />Time Of Teat: - <br />M}mP <br />z ,� :. New LO SN/MDL/MFG: <br />F.d'n-1. <br />r0 nc InOmetef . ,. <br />`-�`""" . "R " Y.€" .a; a x c . <br />`� �. <br />_ LINE TEST PSI: <br />- <br />r <br />Dispenser Shear Valves <br />O rateesMo <br />: _6 <br />TANKNOLOGY Regionvla� <br />Unit <br />+ <br />� ( State Lic. #q,�Q <br />� (�' <br />Tanknology corporation International <br />NOTE: Original VacuTect Data recordings are reviewed by <br />tate: <br />5225 Hollister St., Houston, TX 77040 <br />Tanknology's <br />Audit Control <br />Department and maintained on file. <br />TAK-01 <br />(800) 888-8563 • FAX (713) 690-2255 <br />