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u <br />E Tanknology Impact Valve <br />Inspection <br />Impact Valve Operational <br />Inspection <br />Work Order: 2329828 <br />Site Name/ID: CHEVRON 208118 N-4087-1-3 <br />Address: 3355 E. HAMMER LANE @_ HOLMAN RD <br />City: STOCKTON <br />FEB 0 8 2017 <br />ENVIRONMENTAL HEf H <br />DEPARTMENT II <br />Date: 2/6/2017 <br />State: CA Zip: 95212 <br />Dispenser <br />Number <br />Grade <br />Secure <br />Mount? <br />Valve <br />Lock? <br />Pass/ Fail <br />Comments <br />1/2 <br />87 <br />F <br />+ Pass r Fail r Not Tested <br />1/2 <br />91 <br />I✓ <br />170 <br />Pass r Fail r Not Tested <br />3/4 <br />87 <br />W <br />Fv-0 <br />* Pass r Fail r Not Tested <br />3/4 <br />91 <br />W <br />F <br />• Pass f Fail r Not Tested <br />5/6 <br />87 <br />1, <br />r <br />G Pass i Fail r Not Tested <br />5/6 <br />91 <br />W <br />I✓ <br />• Pass r Fail f Not Tested <br />7/8 <br />87 <br />W <br />W <br />• Pass r Fail C Not Tested <br />7/8 <br />91 <br />r <br />I✓ <br />• Pass f Fail r Not Tested <br />9/10 <br />87 <br />R— <br />r <br />• Pass i Fail r Not Tested <br />9/10 <br />91 <br />WO <br />* Pass(— Fail I' Not Tested <br />11/12 <br />87 <br />R— <br />• Pass f Fail r Not Tested <br />11/12 <br />91 <br />F7 <br />r <br />+ Pass r Fail r Not Tested <br />Technician Comments: <br />Technician Name: Jesus Saldivar <br />Signature: /1-1 4^� <br />Environmental Compliance for Petroleum Systems <br />©2017 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com <br />