Laserfiche WebLink
2560 Soquel Avenue s*02 <br /> Santa Cruz CA 95062 e � <br /> T: 831.475.8141 � r-„��\V/// �'�;�� <br /> F: 831.475.8249 v v 1L��3tJ <br /> CA Lic#693807 A-HAZ B-HIC JUL 2 9-�u iU <br /> Secondary Containment Testing Report FoI VIRf}WNSE ICESHEALTH <br /> t�liT/SERVICER <br /> 1. Facility Information <br /> Facility Name: Valero 3698 Date of Testing: 0710612010 <br /> Facility Address: 153 East 11th St.Tracy,CA 95376 <br /> Facility Contact: Phone: 209-832.8815 <br /> Date Local Agency Was Notified of Testing: 06116/2010 <br /> Name of Local Agency Inspector(if present during testing): Stacy Rivera <br /> 2. Testing Contractor Information <br /> Manufacturer Component Expiration Date <br /> Incon Leak Detector 12115/10 <br /> 3. Summary of Test Results <br /> Component P I F I NT I RM Component P F NT RM <br /> Spill Buckets:All ED ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> To the best of my knowledg , e facts stated in this document are accurate and in full compliance with legal requirements <br /> ti <br /> Technician's Signa e: Date: 07/06/2010 <br /> f <br /> Technician's Na e: Jon�than Ocker <br /> r <br /> Iof2 <br />