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Tanknology Impact Valve P�iraP 0 e 20,3 <br /> Inspection <br /> Impact Valve Operational r� - <br /> Inspection <br /> Work Order: 2334517 Date: 3/2/2018 <br /> Site Name/ID: 7-ELEVEN#32262, MKT 2368(N-3940-1 <br /> Address: 2360 W GRANTLINE 1-205 OFF RAMP <br /> City: TRACY State: CA Zip: 95376 <br /> Dispenser Secure Valve <br /> Number Grade Mount? I Lock? Pass/Fail Comments <br /> 1/2 87 F7 W (+ Pass r Fail f` Not Tested <br /> 1/2 89 W rv-� (* Pass r Fail C Not Tested <br /> 1/2 91 r r t~ Pass(' Fail(' Not Tested <br /> 3/4 87 r r (+' Pass r Fail r Not Tested <br /> 3/4 89 W W G Pass(' Fail r Not Tested <br /> 3/4 91 W F Go Pass f Fail f Not Tested <br /> 5/6 87 W r r Pass(- Fail r Not Tested <br /> 5/6 89 rV71 FF f+' Pass(' Fail(' Not Tested <br /> 5/6 91 r F (* Pass(' FailNot Tested <br /> 7/8 87 r FF t` Pass r Fail(Not Tested <br /> 7/8 89 rv-� FF (+' Pass(' Fail C Not Tested <br /> 7/8 91 r FF (* Pass r Fail r Not Tested <br /> 9/10 87 ry-� P-,' (+' Pass( Fail(' Not Tested <br /> 9/10 89 F r (* Pass(' Fail(' Not Tested <br /> 9/10 91 W FO i` Pass r Fail r Not Tested <br /> 11/12 87 PF r7 (+ Pass r Fail(' Not Tested <br /> 11/12 89 W� r%'- (*' Pass(' Fail(' Not Tested <br /> 11/12 91 Po- rv-0 r Pass(` Fail(' Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: A'° <br /> Environmental Compliance for Petroleum Systems <br /> ©2018 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />