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.1i Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2353607 Date: 2/10/2022 <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 W Other F <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 Wo Wo 'FV- Pass r- Fail r Not Tested <br /> 112 91 r r W Pass r- Fail r- Not Tested <br /> 3/4 40 P-1 r W Pass r- Fail F Not Tested <br /> 3/4 87 FV- r FY-1 Pass r- Fail r- Not Tested <br /> 3/4 91 F%O- r W Pass r- Fail r- Not Tested <br /> 5/6 87 FV- r W Pass r- Fail r- Not Tested <br /> 5/6 91 Fv-' W R Pass F Fail ,F Not Tested <br /> 7/8 87 FV- R Pass F Fail r- Not Tested <br /> 7/8 91 r F� Pass F Fail r- Not Tested <br /> 9/10 87 Ro- R R Pass r- Fail r- Not Tested <br /> 9/10 91 R R Pass r Fail r- Not Tested <br /> 11/12 87 Fv-' r R Pass r- Fail r Not Tested <br /> 11/12 91 W fv- R Pass F Fail F Not Tested <br /> 13/14 40 r R FFV- Pass r- Fail r- Not Tested <br /> 13/14 87 r r ry-1 Pass r- Fail r- Not Tested <br /> 13/14 91 FV- r R Pass 1- Fail r- Not Tested <br /> 15/16 87 W r W Pass r Fail r- Not Tested <br /> 15/16 91 '� r W Pass F Fail F Not Tested <br /> Technician Comments: <br /> Technician Name: Jesus Saldivar <br /> Signature: '41dz'�- <br /> Environmental Compliance for Petroleum Systems <br /> ©2022 Tanknology Inc.,Austin,TX.All rights reserved. tanknology.com <br />