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.Lip Tanknology <br />Impact Valve <br />Secure <br />Mount? <br />Inspection <br />Pass/ Fail <br />Impact Valve Operational <br />1/2 <br />Inspection <br />Work Order: 2387492 <br />Wo <br />Site Name/ID: CHEVRON 210997 (N-4693) <br />Address: 1442A W COLONY <br />DR. <br />City: RIPON <br />r <br />Date: 1/7/2026 <br />State: CA Zip: 95366 <br />How Inspected: Line Test F NFPA 30A r- PEI RP1200 W Other i - <br />Dispenser <br />Number <br />Grade <br />Secure <br />Mount? <br />Valve <br />Lock? <br />Pass/ Fail <br />Comments <br />1/2 <br />40 <br />W <br />Wo <br />WO Pass r- Fail F Not Tested <br />1/2 <br />87 <br />r <br />r <br />r Pass r- Fail F Not Tested <br />1/2 <br />91 <br />r <br />r <br />r Pass r- Fail r Not Tested <br />3/4 <br />40 <br />FV <br />r <br />WO Pass r- Fail r- Not Tested <br />3/4 <br />87 <br />r <br />r <br />r Pass r Fail r Not Tested <br />3/4 <br />91 <br />Wo <br />r <br />ry-1 Pass r- Fail F Not Tested <br />5/6 <br />40 <br />P-1 <br />r <br />r Pass .F Fail r Not Tested <br />5/6 <br />87 <br />Wo <br />r <br />r Pass r- Fail r Not Tested <br />5/6 <br />91 <br />r <br />r <br />WO Pass F Fail F Not Tested <br />7/8 <br />40 <br />° <br />r <br />r Pass F Fail F Not Tested <br />7/8 <br />87 <br />Wo <br />r <br />FY -1 Pass F Fail F Not Tested <br />7/8 <br />91 <br />r <br />r <br />r Pass F Fail F Not Tested <br />9/10 <br />40 <br />r <br />r <br />P Pass F Fail F Not Tested <br />9/10 <br />87 <br />r <br />r <br />N-0 Pass F Fail F Not Tested <br />9/10 <br />91 <br />r <br />r <br />r Pass F Fail F Not Tested <br />11/12 <br />40 <br />r <br />r <br />P Pass r- Fail F Not Tested <br />11/12 <br />87 <br />'+ <br />r <br />N-0 Pass r- Fail F Not Tested <br />11/12 <br />91 <br />r <br />WO Pass F Fail F Not Tested <br />Technician Comments: <br />Technician Name: <br />Signature: <br />Jesus Saldivar <br />Environmental Compliance for Petroleum Systems <br />©2026 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com <br />