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Impact Valve <br /> ALAW Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2339855 Date : 4 /30/2019 <br /> Site Name/ ID : 7 - ELEVEN #32190 , MKT 2368 <br /> Address : 4943 S . KINGSLEY ( FRONTAGE RD) HWY 99 @ ARCH AIRPORT RD <br /> City : STOCKTON State : CA Zip : 95206 <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass / Fail Comments <br /> 1 /2 87 r I/ r Pass F Fail r Not Tested <br /> 1 /2 89 r r r Pass Fail r Not Tested <br /> 1 /2 91 F r v Pass r Fail r Not Tested <br /> 3/4 87 F F P Pass !r Fail r Not Tested <br /> 3/4 89 <br /> FV W rV Pass r Failr Not Tested <br /> 3/4 91 F (I/ W Pass r Fail r Not Tested <br /> 5/6 87 )āœ“ r F Pass r Fail r Not Tested <br /> 5/6 89 (āœ“ FV ry Pass r Fail r Not Tested <br /> 5/6 91 F Iāœ“ R Pass r Fail r Not Tested <br /> 7 /8 87 r r Pass r Fail r Not Tested <br /> 7/8 89 O Pass r Fail r Not Tested <br /> 7/8 91 W iry Pass r Fail r Not Tested <br /> 9/ 10 87 ry r r Pass r Fail r Not Tested <br /> 9/ 10 89 r r Pass r Fail r Not Tested <br /> 9/ 10 91 W P Iv Pass r Fail r Not Tested <br /> 11 / 12 87 w F Iy' Pass r Fail r Not Tested <br /> 11 /12 89 w R 1+ O Pass r Fail r Not Tested <br /> 11 / 12 91 r ry Pass r Fail r Not Tested <br /> Technician Comments : <br /> Technician Name : Jesus Saldivar <br /> Signature : <br /> Environmental Compliance for Petroleum Systems <br /> ©2019 Tanknology Inc. , Austin , TX. All rights reserved . tanknology . com <br />