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` A KNOLOG " <br />4"0'" of"V.APIPNP3 ® iOiC ■ YC� T41 ■EST REPORT S.O.•` <br />Itc-0 0GI IPONMENT <br />customer L site #aDt(_-1S8t(_ 13oc� Date ---� <br />Invoice Name/Address Phone <br />Site Name/Address _�_�_C-� ffo -- L ( 1 R 6 ( . �j� 37, Att'n: __-- <br />See <br />Diag <br />For <br />Loc <br />Tank <br />N <br />0 <br />�V <br />L4 <br />_ Tanknology Corporation International <br />TANKNOLOGY Region: I N"� Unit # _ State Lic.# - 1�(5 State: C, L 4960-F Allison Parkway <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 a (800) 826-5837 e FAX (707) 446-2495 <br />FORM 14 <br />TANKS <br />LINES <br />Leak Det <br />Tank <br />Product <br />Gallons <br />Tank <br />Dia. & <br />Material <br />ST/ <br />Lined <br />Dipped <br />Water <br />Level <br />® <br />START <br />END <br />Dipped <br />Product <br />level <br />® <br />START <br />END <br />Probe <br />Water <br />Level <br />® <br />START <br />END <br />— <br />water Bubble <br />ingress ingress <br />Detected <br />® ® <br />Yes/No Yes/No <br />Ulage TJANK <br />Air <br />ingress <br />Detected <br />■ <br />Yes/No Fail <br />Lineal` <br />rata <br />kt*W <br />ST t FRP <br />■® <br />Syst.TTy <br />Pal 88e <br />LINE <br />TEST <br />START <br />TIME <br />UNE <br />TEST <br />® <br />END <br />TIME <br />Final <br />Leek <br />Rate <br />■ <br />GPH <br />LINE <br />• <br />Ti t <br />or <br />Fail <br />Exist <br />LD(s) <br />Pass! <br />Fail! <br />or <br />NONE <br />NEW <br />LD(s) <br />Tested <br />&Detected <br />PAS$ <br />Model <br />T <br />TANKS and LINES Tested to <br />CFR -40 Parts 280-281 & NFPA <br />329 Spec's. <br />Other:FRP/ <br />Podtx:t <br />{� <br />Diameter <br />6 O <br />- <br />1 <br />�� � <br />�if <br />„ to <br />-1 B <br />Maas <br />Exist LD SN:A .� <br />`t� .�- <br />i e, <br />Naw LD SN: 8 ® ! ( - [� <br />- ____ <br />GEbro <br />- <br />kaarW <br />p <br />PercerxotFa f �j (� <br />Start Time: &I Test The: rJ (/ <br />Porro % <br />Mrgr: rlr 1C <br />TEST PSI: 1D <br />Sy3t.Type <br />LINE TEST PSI <br />n(�/D� <br />� ` ` I- 1'11 <br />End Time: Entry Point: <br />operate9sino) dw3 <br />lCa" <br />Ofa'met®r <br />- , FZ - -b <br />rI <br />10i <br />�' <br />��jJ <br />1`r <br />�(i <br />,h <br />�� V <br />�-(� <br />PLD <br />ExfstLD SN:A. �O j <br />ti LD SN: <br />'�3(� l`�t� f <br />1 <br />Wbftal <br />PeresMofFM r'� <br />Start Time: at Tort Tine: <br />_1D <br />Pune r-Syst.T <br />P2D <br />LINE TEST PSI <br />Probe l <br />End Time: Entry Point: �. �� <br />TAMC <br />TEST PSI: <br />Dhpe wSharValws <br />operate beetno): <br />Podst <br />�� <br />OhmeNr <br />"CV <br />��• l <br />^ m <br />i"`� �� <br />® <br />No <br />_3A <br />38 <br />Exist LD SN:3,0(091- 1 Sl <br />New LD SN_ <br />Chbra <br />/ <br />�L <br />MaarW <br />_ <br />Percent of Fp <br />Start Time: at Test Time: ` t v� <br />/t r- <br />Mgr. <br />Syo-Typo <br />ei� <br />e <br />- <br />LINE TEST PSI <br />DIeWwrShearVdws <br />wee b®slnoy <br />Plebe <br />End Time: Entry Posit: (l I <br />TANK 3D <br />TEST PSI: C V� <br />PudLrt[� <br />Vl <br />Diameter <br />L0 <br />^v <br />tC <br />0,5- J <br />® F__�� <br />(� �'�1 <br />Iry ' <br />�4A <br />®4B <br />0 -ft'/*" <br />` t -f <br />(6(LZ <br />��t 3 7 <br />�(�� <br />t� p 2 <br />Exist LD SN: a oi� Q/- �I�J <br />/l�/tY„ <br />l 1� � ( <br />/! <br />r <br />tilarcLDSN: � 5062 - p`y <br />Chi" <br />l <br />kiaral <br />Percent of F■ r/(� <br />Start Time: at TestThe:H _ (,p <br />Pump � � 4C <br />M4 <br />1 T <br />S <br />UNE TEST PSI <br />Pte. dill, <br />End rime: Entry Polnk <br />4D <br />TEST PSI: <br />Operas "sln rValws <br />Operate Qrvslrw): <br />_ Tanknology Corporation International <br />TANKNOLOGY Region: I N"� Unit # _ State Lic.# - 1�(5 State: C, L 4960-F Allison Parkway <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. Vacaville, CA 95688 <br />(707) 446-2494 a (800) 826-5837 e FAX (707) 446-2495 <br />FORM 14 <br />