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';_11, A77 4H') -, T <br />Location: COUNTRY MARKET <br />1524 FRESNO AVE. <br />STOCKTON , CA 95206 <br />Facility: <br />BILL TO : VALLEY PACIFIC PETROLEUM SERVICES, INC <br />Contact: MIKE ELIASON <br />Spill Bucket Test <br />Work Order Date <br />05080301-2 AUG 3, 2005 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Regulatory Compliance X Retest <br />Post Construction For Sale Inspection <br />Tank Product <br />Grade <br />Bucket Bucket Water Level <br />Type Make (Start) <br />Water Level Testing Pass <br />(End) Duration Fail <br />0 INCOMPLETE <br />1 DIESEL <br />FILL OPW <br />0 <br />1 <br />001 <br />002 <br />2 <br />PASS <br />PASS <br />2 <br />3 <br />2 <br />3 <br />APCD # 0121 <br />3 <br />5 <br />4 <br />4 <br />5 <br />5 <br />Parts / Labor / Comments <br />Bucket Diagram <br />• DURING VISUAL INSPECTION THREE CRACKS WERE <br />FOUND IN SPILL BUCKET <br />CRACKS ATG <br />ANNULAR Q O Q O TURBINE SUMP <br />CRACK <br />Leak Detector — Red Jacket FTA <br />LD <br />Model <br />Serial Number <br />Leak Rate <br />Calibration <br />Pass <br />Fail <br />1 <br />F X I V <br />F X I V <br />001 <br />002 <br />3 G/H <br />3 G/H <br />PASS <br />PASS <br />2 <br />3 <br />4 <br />APCD # 0121 <br />5 <br />Parts / Labor / Comments <br />Purchase Order <br />Contract # <br />Arrival Time <br />Technician Signature <br />License <br />CCL # 803705 <br />9:00 AM <br />ROB NEIMEYER <br />1-_--,- <br />APCD # 0121 <br />TANK-TEK ENVIRONMENTAL CORPORATION <br />607 Elmira Road, PMB 336, Vacaville, CA 95687 — Ph. (707) 446-6151 Fax (707) 446-6192 E-mail: tank-tek@cwnet.com <br />31828 Cercle Chambertin, Temecula, CA 92591 — Ph. (951) 699-8058 - Fax (951) 699-8059 - E-mail: drbtanktek@sdccu.net <br />