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• Work Order <br /> A Job : 311039 <br /> ~ NBLF <br /> Service Station Systems, Inc. PO # : COMPLIANCE PO <br /> 680 Quinn Ave <br /> San Jose, CA 95112 Ref # : 3197529 <br /> (408) 971- 2445 <br /> dispatch@servicestationsystems.com <br /> Contractor License : 485184 <br /> Customer: Site : <br /> Chevron USA Chevron 208117 <br /> PO Box Q 755 S Tracy Blvd <br /> Concord, CA 94524 Tracy, CA 95376 <br /> Work Performed <br /> Category : Dispensers Unit# : 01 <br /> Component : Impact Valve Item : D /W Xi /V590/ D4/ GIJV <br /> Failure : Leaking Fuel Serial # : 554 <br /> Repair : Tightened Task# : 1 <br /> Enter Date/Time of Service (Military Time) : 02-13 -2019 11 : 30 The following data was recorded by (Tech Hunter Gustin <br /> First/Last Name) : <br /> Confirmed no physical damage to Dispenser PASS Confirmed all grades dispensing for both sides PASS <br /> and/or to any of the dispenser exterior of dispenser: <br /> components : <br /> Confirmed dispenser power requirements : DOES NOT APPLY Confirmed all internal cabling secure and not DOES NOT APPLY <br /> damaged : <br /> Confirmed programming correct: DOES NOT APPLY Confirmed all Dispenser communications DOES NOT APPLY <br /> operational : <br /> Confirmed no leaks and/or no flow rate issues PASS - REPAIRED Confirmed sensor(s) at lowest point and CONFIRMED <br /> identified : attached supporting Sensor Placement or <br /> Chain/Float picture(s) to job : <br /> Confirmed all impact valve(s) in the open COMPLETE Dispensed the following fuel grade (s) for NO FUEL DISPENSED <br /> position then closed and secured all dispenser testing purposes and returned back to <br /> door(s) : appropriate tank: <br /> Volume of product dispensed/returned (GAL) : 0. 00 Dollar amount of product dispensed/returned 0 . 00 <br /> Waste Disposal left on site : NO WASTE While addressing this task I created and None <br /> GENERATED cleared the following new Monitoring System <br /> alarm(s) : <br /> I updated Site Maintenance Log : COMPLETE Name of person site keys returned to OR Did Did not use <br /> Not Use: <br /> The status of this task is : CLOSED — COMPLETE Brief Summary of Repairs or Additional Tightened Premium <br /> Details : union additional 1 /8 to <br /> 1 /4 turn , cleaned off <br /> residue and wil <br /> continue to monitor. <br /> Site lost power approx <br /> 12 : 00pm <br /> Category : Dispensers Unit# : 03 <br /> Component: Impact Valve Item : D /W Xi /VS90 / D4 / GIJV <br /> Failure : Leaking Fuel Serial # : 234 <br /> Repair : Tightened Task# : 2 <br /> Enter Date/Time of Service (Military Time) : 02-13-2019 12 : 00 The following data was recorded by (Tech Hunter Gustin <br /> First/Last Name) : <br /> Report Date : 2/ 13/ 2019 12 : 58 : 38 PM PST Page 1 of 3 <br />