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CQSTCQ UST System Impact Valve Testing <br /> WFl�OLESME <br /> Location Name : Costco # 1031 Manteca Date : 08/ 13/ 19 <br /> Address : 2440 Daniel St. City : Manteca State : Ca <br /> Dispenser Product Impact Valve Impact Valve <br /> Number Grade Secure ? Locks ? Test Result Comments <br /> 1- 2 87 ® Yes [ ] No ® Yes ❑ No ® Pass [:] Fail <br /> 1-2 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> L3-4 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 3 -4 91 ® Yes ❑ No ® Yes ❑ No ® Pass L] Fail <br /> 5 - 6 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 5 - 6 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 7-8 87 ® Yes [:] No ® Yes ❑ No ® Pass ❑ Fail <br /> 7-8 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 9 - 10 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 9- 10 91 ® Yes [:] No ® Yes ❑ No ® Pass ❑ Fail <br /> 11- 12 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 11- 12 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 13 -14 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 13 - 14 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 15 - 16 87 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> 15 -16 91 ® Yes ❑ No ® Yes ❑ No ® Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pass ❑ Fail <br /> Dyes ❑ No ❑ Yes [:] No ❑ Pass ❑ Fail <br /> Dyes ❑ No Dyes ❑ No [ ] Pass ❑ Fail <br /> Dyes ❑ No Dyes ❑ No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes [:] No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes [:] No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes [:] No ❑ Pass ❑ Fail <br /> ❑ Yes OND Dyes ❑ No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No Dyes ❑ No ❑ Pass ❑ Fail <br /> Dyes ❑ No Dyes ❑ No ❑ Pass ❑ Fail <br /> Eyes [ ] No Dyes ❑ No ❑ Pass ❑ Fail <br /> ❑ Yes ❑ No ❑ Yes ❑ No ❑ Pass ❑ Fail <br /> Yes No Yes No OPass 0 Fail <br /> Revised 11/03/2014 <br />