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44' Tanknology Impact Valve <br />Inspection <br />Impact Valve Operational <br />Inspection <br />Work Order: 2308868 Date: 6/19/2013 <br />Site Name/ID: CORNER STORE 3641 <br />Address: 1210 E. HAMMER LANE (cD- WEST LANE <br />City: STOCKTON State: CA Zip: 95210 <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 />PF <br />W <br />ro Pass r Fail r Not Tested <br />1/2 <br />89 <br />F- <br />R' <br />ro Pass r Fail r Not Tested <br />1/2 <br />91 <br />R-.1 <br />[Y-1 - <br />ro- Pass r Fail r Not Tested <br />3/4 <br />87 <br />F- <br />PF <br />ro Pass r,,, Fail r,., Not Tested <br />3/4 <br />89 <br />PF". <br />� <br />ro. Pass r Fail r Not Tested <br />3/4 <br />91 <br />1- <br />P-0 <br />r* Pass ra-,,- Fail r Not Tested <br />5/6 <br />87 <br />17 <br />ro Pass !" Fail rW Not Tested <br />5/6 <br />89 <br />W, <br />ry-�, <br />ro Pass r Fall Not Tested <br />5/6 <br />91 <br />r- <br />1-4-0 <br />* Pass r Fail r Not Tested <br />7/8 <br />87 <br />We <br />ry-O <br />.0 Pass r Fail r Not Tested <br />7/8 <br />89 <br />F <br />P-0 <br />re Pass r Fail r Not Tested <br />7/8 <br />91 <br />WFI, <br />ro Pass r Fail r Not Tested <br />Technician Comments: <br />Technician Name: Sammy Tili <br />Signature: Jv��7 <br />Environmental Compliance for Petroleum Systems <br />02013 Tanknology Inc., Austin, TX All rights reserved. tanknology.com <br />