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Impact Valve <br /> .LAP Tanknology Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2363748 Date: 8/28/2023 <br /> Site Name/ID: CHEVRON 99280 <br /> Address: 1222 W Atherton <br /> City: Manteca State: CA Zip: 95337 <br /> How Inspected: Line Test F NFPA 30A I- PEI RP1200 W Other (- <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 40 rv- Wo ry-1 Pass r- Fail I- Not Tested <br /> 1/2 87 Wo r r Pass r- Fail F Not Tested <br /> 1/2 91 r FI-1 r Pass r- Fail r Not Tested <br /> 3/4 40 + ry-1 Fv-1 Pass r- Fail r- Not Tested <br /> 3/4 87 W r r Pass r Fail r Not Tested <br /> 3/4 91 Wo r ry-1 Pass r- Fail F Not Tested <br /> 5/6 40 P-1 r r Pass .F Fail r Not Tested <br /> 5/6 87 Wo FI-1 r Pass r- Fail r Not Tested <br /> 5/6 91 r ry-1 WO Pass F Fail F Not Tested <br /> 7/8 40 r rv- r Pass F Fail F Not Tested <br /> 7/8 87 r ry-1 Pass F Fail F Not Tested <br /> 7/8 91 r ry-, r Pass F Fail F Not Tested <br /> 9/10 40 r r P Pass F Fail F Not Tested <br /> 9/10 87 r WO Pass F Fail I- Not Tested <br /> 9/10 91 rv- r Pass F Fail F Not Tested <br /> 11/12 40 P Pass r- Fail F Not Tested <br /> 11/12 87 '+ r Fv-1 Pass r- Fail F Not Tested <br /> 11/12 91 r FI-1 F%-O Pass F Fail F Not Tested <br /> Technician Comments: <br /> Technician Name: Landon Zamora <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> ©2023 Tanknology Inc.,Austin, TX.All rights reserved. tanknology.com <br />