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4-JWTanknologyImpact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2348912 Date: 12/15/2021 <br /> Site Name/ID: 7-ELEVEN#20632, MKT 2368 <br /> Address: 4627 DA VINCI DR @ MARCH LN <br /> City: STOCKTON State: CA Zip: 95207 <br /> How Inspected: Line Test r NFPA 30A F- PEI RP1200 r Other r- <br /> Dispenser Secure I Valve <br /> Number Grade I Mount? Lock? I Pass/ Fail Comments <br /> 1/2 40 W 1V ry-1 Pass Fail Not Tested <br /> 1/2 87 P"' r Pass r Fail Not Tested <br /> 1/2 91 r WO Pass Fail F Not Tested <br /> 3/4 40 I r Pass r- Fail r Not Tested <br /> 3/4 87 P W Pass T- Fail r Not Tested <br /> 3/4 91 I Fe- r Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Landon Zamora <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2021 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />