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•SW.Rds, Januar} 2002 <br />Secondary Containment Testing Rtj...ort Form <br />form is a ded n►' a ley contractors pe�f n " gpe. tod tes::ng of UST s�ndw- y coidairrnlent *W&= Use she <br />nGE�ap, roprratepages ofth&forna to report resultsfor att components tested The comptetedfmm, written text procedures, and <br />prmtozasfrom tests {r} applicable), shMild be provided to 117e facility oirmerloperatorfor submittal to the local regulotory agaJcy <br />_ <br />FamTzyNm= A one Gas and Food f Daft2g <br />P=-&yAdres-, 574 W Grant Line Trac <br />P�jcj&y Contact Ramesh I Pha= 209-833-3416 <br />� dofTestbg: Dec. 02, 2010 <br />Nm= ofLocg AamcyhmpecW f�Adrz!'= Stacey Rivera <br />e� <br />-. ».--OFOR RWTEON JAN 11 201 <br />campanyName_ Reliable Petroleum Inc. <br />Technician t'� TesEr Ernie Bernabe ENVIR S <br />Crede -nim -Is- v COMMMMl ad � <br />SVIRCB LioensediaTes£er <br />ni <br />?,icetese''ype_ A- <br />883706 <br />Mang-rh Tramme <br />Go news) Date Traimima Expires <br />INCDN TS -STS May 26,2011 <br />ICC Service Tech July 30,2011 <br />�. �. _ OF`ESS' PX5ULT8 N.- vai e <br />ISTP -.Sump 87 -X <br />STP Sump 91 X <br />UDC 1-2 X <br />UDC 3-4 X X` <br />DC 5-6 X <br />DC 7-8 X <br />Nhydrom = testing was performed, describe what was done with the water after eo mpkdm orf tests <br />Left smnP ljest waW in 3 50 gallons drums_ for later disposai by t e f <br />CERTMCAItTIM OFTFACMCUN $BSPONS.tBLE FOR CONDUCn NO THIS TTS'!' G <br />To tic best of my kNOWFed, tLaeOds d mre aecrrrme awd in ffl'canVffimrce wj& lest res&&rnrerrts <br />Ti'sDate:Dec . 0 6, - c2` 2 010 <br />�>� <br />