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Jones Covey Group, Inc.
<br />Customer: Pilot Travel Center
<br />Customer W/O #: H. Marlowe
<br />Dm®: 11/1!2010 8:00:00 AM
<br />Custurner Conduct: Holly Marlowe
<br />Ron sit. ❑Job Completed
<br />9595 Lucas Ranch Rd., #100
<br />Rancho Cucamonga, CA 91730
<br />Toll Free (888) 972-7581
<br />Fac (9" 484-0300
<br />e-mail: wo@jonacovey.com
<br />Work Order # 7947
<br />Location: Pilot Flying J - #617 Address: 15100 N. Thornton Road
<br />Lodi
<br />City: Lodi State: CA
<br />209-3394066 Zip: 95242
<br />SB989
<br />Reported Scope of
<br />Work-
<br />ork:Pr
<br />ority- Regular Wentber: cloudy Temperature
<br />Priority-
<br />38
<br />Type of Call: Testing
<br />Net Serial # (Ef Required)
<br />11/302010 ss SB -989 Secondary containment testing.Performed hydrostatic best on 34 Underdisponser eontainmc a s,5
<br />1.00000
<br />Turbines rumps & 5 Spill containments & 2 Vapor bmoket'9,2 Transition sumps.Te sted 97,91,mdo diesel & truck diesel
<br />product swondery's lines.Auto dispenser's #1 through # 12,aad #18 passed hydrostatic tcst Fxcept Disp #13,14-15,16.17.#13
<br />14
<br />attempted to repair 2" test boot #13,14-15,16-17 has no visual looks. STP sump S -1,S -2,S -4,S-5 Passed hydrostatic tat S-3
<br />Failed due to damaged 4"test boot on maKT-5 91 Spill bucket famed multiple tat PHIL-TYM. Transition sumps #1-ti2
<br />Work Performed:
<br />Passed hydrostatic tesL Truck diesel teach -dispenser containments #'s M -19,S -19,M 20,5 20,M -27,S -22,M -23,S -23,M -24,S -
<br />(Include Parts
<br />24,M.25,S-25,M-26,5-26,M-27,S-27,M 28,S -28,M 29,S -29,M 30,S-30 Passed hyrdostatio test M-21& S-21 Far%d, M-21 no
<br />Needed)
<br />vissual leak S-21 Has s torn 2"poschatiAm. Secondary line tat: Auto Fuel (91 Product) S•5 -to- disp#13, D6pensw#11 thru
<br />#1 passed 5 PSLScoondsry piping run from disp#13 to#12 failed due to damaged test boot. (87) S-4 to dispenser #17& disp
<br />#14 thru Dispenser #1 passed.Scoondary piping from disp#16 to #15 Failed due to damaged tat pert on lisp#16. (Auto
<br />T iCian(s)
<br />diesel) S-3 thru Dispensers 01 Posaed.Truck dieschSecondary product Piping from transition aump#1 thru Dispensers M -19,S
<br />-19X-20,S,20 passed.Secondary product piping from transition sump #2 thru M -21,S -21,M -22,S -22,M 23,S -23,M -24,S-24
<br />Type Arrival
<br />paced, piping run between M-20 to M-21 fail pressure testseeondary run from transition sump#2 du u disp#M-25&sses to M
<br />Total
<br />-27&sat possed.Scoo ndary piping run on disp#M-28 &aat°s thm disp M 30&.sat Passed.Piping run from transition#2 to M-28
<br />Labor Testing 1 1/3 0/201 0 7-00:00 AM
<br />Failed due to damaged test boot.4"Ameron Secondary containment product piping run between Transition rumps 91&02
<br />12.00040
<br />Passed.4" piping rat between Turbine sumps #S -3,S -2,S -i& to transition sump#1 Failed due to town 4%cst boot in S-3. Ali
<br />Labor - Testing 11/30/2010 7:(X1:00 AM
<br />Department -
<br />secondary syphon linea between S -3,S -2,S-1 Passed. Installed (I)naw (SW V -101 -SS) VAPOR Adapar on Unleaded 87 tank
<br />12.00000
<br />tested and pwsc&**Plseed all liquid sensors to their proper position ,Locked all sensors in brsokets.11r30/2010**3.5 Hours
<br />Labor - Testing 17/12010 7:30:00AM
<br />Department- 75
<br />LaborRcpa' components.1211/2010 **3 Hors Repairs and Retest
<br />SemorRemoved? SemorteLanest I Any C Amer Fue1F5l min I AnylagrddLkpddPlaadln BazDedatOn
<br />Paperwork Completed
<br />Potot? (irRsnoved)gopplie i Items? CmtemerDrom? Removed? BszDrum? Drum?
<br />(sari sad kbak)
<br />Yes Yes No No Ya Yes Yes
<br />Yep
<br />Teclmi ' Signatner 3
<br />Signature //�N 5 gnaUue_ , Date_ 12/1/2010
<br />Parts Used
<br />Quantity
<br />Description
<br />Net Serial # (Ef Required)
<br />OM Serial Number
<br />1.00000
<br />SW -101 -SS - Phil -Tito Vapor Swivel Adapter? Stainless Steel
<br />14
<br />DPL55R - BSC 35 Gulhn Reoon CT Poly Drum /Blue or Bunk
<br />0.00000
<br />Equipment ^ Testing -
<br />T iCian(s)
<br />Te&nki=
<br />Type Arrival
<br />Depwrture
<br />Total
<br />Frank Vasquez
<br />Labor Testing 1 1/3 0/201 0 7-00:00 AM
<br />11/302010 7.M.00 PM
<br />12.00040
<br />Edwin Corers
<br />Labor - Testing 11/30/2010 7:(X1:00 AM
<br />Department -
<br />11/30/2016 7:00:60 PM
<br />12.00000
<br />Edwin Coruna
<br />Labor - Testing 17/12010 7:30:00AM
<br />Department- 75
<br />12/12010 7:30;00 PM
<br />12.00000
<br />Teclmi ' Signatner 3
<br />Signature //�N 5 gnaUue_ , Date_ 12/1/2010
<br />
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