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i Impact Valve <br /> 4jw Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2344027 Date : 2 /7 /2020 <br /> Site Name/ ID : CHEVRON 209167 <br /> Address : 1234 E . YOSEMITE AVE @ SPRECKLES <br /> City : MANTECA State : CA Zip : 95336 <br /> How Inspected : Line Test NFPA 30A F PEI RP1200F Other r <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock ? Pass/ Fail Comments <br /> 1 /2 87 F F W Pass F Fail r Not Tested <br /> 1 /2 91 F FV F Pass r Fail r Not Tested <br /> 3/4 87 F r R" Pass F Fail F Not Tested <br /> 3/4 91 F r W Pass F Fail F Not Tested <br /> 5/6 87 Pass r Fail r Not Tested <br /> 5/6 91 F W Pass Fail Not Tested <br /> 7 /8 87 r r F Pass r Fail r Not Tested <br /> 7/8 91 F W Pass F Fail r Not Tested <br /> 9/ 10 87 r C✓ F Pass r Fail r Not Tested <br /> 9/ 10 91 C✓ r Pass Fail Not Tested <br /> 11 /12 87 r F Pass F Fail r Not Tested <br /> 11 / 12 91 FYI P Pass F Fail r' Not Tested <br /> Technician Comments : <br /> Technician Name : Jesus Saldivar <br /> Signature : /L ele� <br /> Environmental Compliance for Petroleum Systems <br /> @2020 Tanknology Inc. , Austin , TX . All rights reserved . tanknology . com <br />