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,Iilr Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2334340 Date: 2/1/2018 <br /> Site Name/ID: CHEVRON 209167 <br /> Address: 1234 E.YOSEMITE AVE(cD_SPRECKLES <br /> City: MANTECA State: CA Zip: 95336 <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/Fail Comments <br /> 1/2 87 F r • Pass r Fail r Not Tested <br /> 1/2 91 F W • Pass r Fail r Not Tested <br /> 3/4 87 W WO • Pass r Fail r Not Tested <br /> 3/4 91 F-0 r%O- * Pass f Fail r Not Tested <br /> 5/6 87 F F0- • Pass f Fail f Not Tested <br /> 5/6 91 5-0 W * Pass r Fail r Not Tested <br /> 7/8 87 Pr W C: Pass f Fail r Not Tested <br /> 7/8 91 W I✓ • Pass r Fail r Not Tested <br /> 9/10 87 r W + Pass r Fail f Not Tested <br /> 9/10 91 P- f%-0 • Pass r Fail r Not Tested <br /> 11/12 87 F I✓ + Pass r Fail r Not Tested <br /> 11/12 91 F10- r (+ Pass C Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: / 4^�- <br /> Environmental Compliance for Petroleum Systems <br /> ©2018 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />