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Dashboard Gas Station List Gas Station Dashboard SHEAR VALVE OPERATION INSPECTION

SHEAR VALVE OPERATION INSPECTION

Fascility Name :

American Gas Station

Address :

Ditch Road

City, State, Zip Code:

Carmel, Indiana, 46032

Fascility Id :

Compliance Training

Testing Company:

Midwest Tank Testing

Owner:

TEST LEAD

Address :

City, State, Zip Code:

, , 46517

Phone :

(123) 456-7890

Phone :

(987) 654-3210

Product Grade
Dispenser ID#
Shear ValveType (Product/Vapor)
1. Is the shear valve rigidly anchored to the dispenser box frame or dispenser island?	Yes No	Yes No
2. Is the shear section posi tioned between ½ inch above or below the top surface of the dispenser island?	Yes No	Yes No
3. Is the lever arm free to move?	Yes No NA	Yes No NA
4. Does the lever arm snap shut the poppet valve?	Yes No NA	Yes No NA
5. Can any product be dispensed when the product shear valve is closed?	Yes No NA	Yes No NA
Test Results	Pass Fail	Pass Fail

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