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Service Report <br />9595 Lewes Rauch Rd., #100 <br />Rancho Cocamonr^ CA 91730 <br />Reported Scope of <br />I <br />Toll Free (98 8) 972-7591 <br />Work: <br />Fax (909) 434-0300 <br />Priority. <br />e-mail: wo@joncsoovcy.00m <br />Jones Covey Group, Inc. <br />Custooser. Pilot Travel Center Location: Pilot Flying J - 0617 Address: 15100 N. Thornton Road <br />Lodi <br />CudowrW/o #: H. Marlowe City: Lodi State: CA <br />Date: 11/1/20108:00:00AM Phone: 209-339-4066 Zip: 95242 <br />Customer Contact: oUy Marlowe <br />non site Job Completed <br />Tecbnician <br />Signattuq_ <br />Customer � — IM/2010 <br />Siguatera Date � <br />N <br />SB989 <br />Reported Scope of <br />I <br />I <br />Work: <br />Description <br />Priority. <br />Regular Weatlrere .1--ty Terojmwature: 39 Type of Caff: Testing <br />1.00000 <br />11/30/2010 ee SB -989 Secondary containment% tioj;Tcr[brmcdhy#*ddio tat on 34 Undar-dispenser containmeas.5 <br />Turbines sump & 5 Spill containments & 2 Vapor boolzWeA Transition sumps -Tested 87,91 ,auto diesel A truck diesel <br />140000 <br />product scoonder/s lines.Auto dispenser's #1 through # 12,an4 #19 passed hydrostatic testExcept Drop #13,14-15,16-17.#13 <br />ILI <br />attempted to repair 2"tcst boot #13,14-15,16-17 has no visual leaks. STP sump S -1,S -%S -4,S-5 Passed hydrostatic test S-3 <br />0.00000 <br />Failed due to damaged 4"tast boot on mainT-5 91 Spill bucket failed multiple test PHIL-TITE. Transition sumps #142 <br />Work Performed: <br />Passed hydrostatic tos. Track diesel undcr-dispenser comainments Vs M-i9,S-19X-20,S-20N-22,S-22,M-23,S-23,M-24,S- <br />(Include Parts <br />24X -25,5.25,m.24,5 -26,m -27,S -27,M -29,5 -28M -29,5 -29M -30,S-30 Passed hyrdostatic test M-21& S-21 Failed, M-21 no <br />Needed) <br />vissual leak 5-21 Has a torn 2" penetration. Secondary line test Auto Fuel (91 Product) S-5 -to- disp#13, Disp=s=*l I thru <br />I <br />#1 pawed, 5 PSLSacoadary piping ran fium disp#13 to#12 failed duo to damaged test boot (M S-4 to dispc=cr#l7& disp <br />#14 thru Dispenser 01 passe&Scoondary piping Ecom disp#16 to #15 Failed due to damaged test port on disp#16. (Auto <br />diesel) S-3 thru Dispensers #1 PossolTruck dicscl:Soconday product Piping from transition sumpill thru Dispensers M -19,S <br />Type Arrival <br />-19,M 20,S-20 passed.Scoondaty product piping from transition sump #2 thru M -21,S -21X -22A -22,M -23,5 -23X -24,S-24 <br />Total <br />passed, piping can between M-20 to M-21 fail pressure tostSecondary ran ficut transition sump#2 thru disp#M-25&sfXs to M <br />Labor — Tcgtn75i 11/30/2010 7:00:00 AM <br />- <br />-27&sst possed.Scowdozy piping run an disp#M-28 &sacs duo lisp M-30&sat Passed.Piping run from timisition#2 to M-28 <br />lZo1200000Departmed <br />Faded duo to damaged test boot.VAmcron Secondary containment product piping run between Transition sumps #1&02 <br />Labor— Testing 11/302010 7:00:00 AM <br />Departraeut-75 <br />Passed," piping ran between Turbine sumps #S -3,S -ZS -I& to transition sump#1 Failed due to torn 4Ugt boot in S-3. All <br />17-00000 <br />secondary syphon lines between 5-3,5-2,5-1 Passed. Installed (I)new (SWV-101-SS) VAPOR Adaper on Unleaded 97 took <br />Labor — Testing 12/l/20107:30.00 AM <br />Department - 7!5 <br />tested and passed,**Placed all liquid season to their proper position Locked all sensors in brackeb.l. 1/30/2010**3.5 Hours <br />12.00000 <br />Labor Rcpairs4W=t compmenb.1211/2010 **3 Hours Repairs and Rated. <br />sensor to LowI Any Customer Fuel Fillers in <br />SemorRemoved? ed <br />Polut?(Ifitemmit)l suppficaltems? CustomorDram? <br />A" Liquid <br />Removed?? <br />Liquid Placed I a HuDeadOn PaperwarkCapided <br />HMDTWR? Drum? (StereaudlUm1c) <br />Yes yes No No <br />Yes <br />Yes yes Yes <br />Tecbnician <br />Signattuq_ <br />Customer � — IM/2010 <br />Siguatera Date � <br />N <br />Parts Used <br />Quauft <br />Description <br />Now Serial # (If Required) <br />Old Serial Number <br />1.00000 <br />SVVV-101-SS - Phil-TitcVapor Swivel Adapter- Stainless Steel <br />140000 <br />DPL55R - BSC 55 Gallon Room CT Poly Drum I Blue or Black <br />ILI <br />0.00000 <br />Equipment— Testing - <br />I <br />Technicim(s) <br />Technician <br />Type Arrival <br />Departwe <br />Total <br />Frank Vasquez <br />Labor — Tcgtn75i 11/30/2010 7:00:00 AM <br />- <br />1160/2010 7-00:00 PM <br />lZo1200000Departmed <br />Edwin Coms <br />Labor— Testing 11/302010 7:00:00 AM <br />Departraeut-75 <br />11/30/2010 7.00.00 PM <br />17-00000 <br />Edwin Como <br />Labor — Testing 12/l/20107:30.00 AM <br />Department - 7!5 <br />12/1/2010 7.30.00 PM <br />12.00000 <br />Tecbnician <br />Signattuq_ <br />Customer � — IM/2010 <br />Siguatera Date � <br />N <br />