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i Impact Valve <br /> Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2344025 Date: 2/6/2020 <br /> Site Name/ID: CHEVRON#208117 <br /> Address: 755 S.TRACY BLVD <br /> City: TRACY State: CA Zip: 95376 <br /> How Inspected: Line Test r NFPA 30A r PEI RP1200F Other r- <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 (✓ W 157 Pass r Fail r Not Tested <br /> 1/2 91 rV-0 r%-� 57 Pass r Fail r Not Tested <br /> 3/4 87 FV- r [,-/ Pass r Fail r Not Tested <br /> 3/4 91 W FV- rv-0 Pass r Fail F Not Tested <br /> 5/6 87 Fv-0 F%O- 57 Pass r Fail r Not Tested <br /> 5/6 91 W FV- C✓ Pass r Fail r Not Tested <br /> 7/8 87 [% P W Pass r Fail r Not Tested <br /> 7/8 91 Fv-0 FV- F,/- Pass r Fail r- Not Tested <br /> 9/10 87 W I✓ W Pass r Fail r- Not Tested <br /> 9/10 91 W rV-0 17/ Pass r Fail r Not Tested <br /> 11/12 87 Iv— FV-0 W1 Pass r- Fail r- Not Tested <br /> 11/12 91 W W W/ Pass r Fail r- Not Tested <br /> Technician Comments: <br /> Technician Name: BrentBowen <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2020 Tanknology Inc.,Austin,TX. All rights reserved. tanknology.com <br />