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.Lw Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2348227 Date: 2/11/2021 <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 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 Wo F7 r Pass r- Fail F Not Tested <br /> 112 91 F70 F Pass r- Fail r- Not Tested <br /> 3/4 87 P-1 r Pass f- Fail r- Not Tested <br /> 3/4 91 W r Pass r- Fail r- Not Tested <br /> 5/6 87 F%07 F P- Pass r- Fail r- Not Tested <br /> 5/6 91 F Pass r- Fail r- Not Tested <br /> 7/8 87 F Pass F Fail F Not Tested <br /> 7/8 91 W W r Pass F Fail F Not Tested <br /> 9/10 87 F70 F r Pass F Fail r- Not Tested <br /> 9/10 91 F%07 F F Pass r- Fail r- Not Tested <br /> 11/12 87 W R r Pass T- Fail I! Not Tested <br /> 11/12 91 F Pass F Fail F Not Tested <br /> Technician Comments: <br /> Technician Name: Clint <br /> !F�uhrman <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2021 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />