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.Lw Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2348257 Date: 2/17/2021 <br /> Site Name/ID: CHEVRON#94275 <br /> Address: 2905 W. BENJAMIN HOLT @ I-5 <br /> City: STOCKTON State: CA Zip: 95207 <br /> How Inspected: Line Test F NFPA 30A F PEI RP1200 F Other F <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 F7 Wo F Pass r- Fail r- Not Tested <br /> 112 91 F70 F7 w1 Pass r- Fail r- Not Tested <br /> 3/4 40 P-1 F7 F7 Pass r- Fail r- Not Tested <br /> 3/4 87 W, F-0 F Pass r- Fail r- Not Tested <br /> 3/4 91 Wo R-0 w+' Pass r- Fail r- Not Tested <br /> 5/6 87 Wo Wo F Pass r- Fail r- Not Tested <br /> 5/6 91 P-1 W w1 Pass F Fail F Not Tested <br /> 7/8 87 Wo W w+' Pass r- Fail r- Not Tested <br /> 7/8 91 Wo W w+' Pass r- Fail r- Not Tested <br /> 9/10 87 Wo R-0 r7" Pass r- Fail r- Not Tested <br /> 9/10 91 Io Wo r7l' Pass r Fail r- Not Tested <br /> 11/12 87 P-1 W w1 Pass r- Fail r- Not Tested <br /> 11/12 91 W W F Pass F Fail F Not Tested <br /> 13/14 40 W W w'' Pass r- Fail r- Not Tested <br /> 13/14 87 Wo W F-' Pass r- Fail r- Not Tested <br /> 13/14 91 W W F Pass F Fail r- Not Tested <br /> 15/16 87 W W Iw Pass r Fail r- Not Tested <br /> 15/16 91 ' r w+' Pass F Fail F Not Tested <br /> Technician Comments: <br /> Technician Name: Brent Bowen <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2021 Tanknology Inc.,Austin,TX.All rights reserved. tanknology.com <br />