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Data 1twart for Tank System TigL,..,4ss Test-:11, 1( <br /> t 19x8 <br /> PLEASE PRINT PETRO—CHECK INC. was <br /> 1. OWNER Property ❑ CELANESE CORPORATION 251 OAK STREET MANTECA, CA 95336 <br /> Name Address Ra esmtaDire LI o <br /> Tortilla) ❑ MR. RON LE 's.. (209) 823—TY 3e5 <br /> Name Add. Repro»1.h.a TNepn... <br /> 2. OPERATOR CELANESE CORPORATION 251 OAK STREET MANTECA CA 95336 <br /> Name Address Telephone <br /> 3. REASON FOR REGULATION GOVERNING UNDERGROUND STORAGE OF HAZARDOUS SUBSTANCES. <br /> TEST SUBCHAPTER 16 OF CHAPTER 3 TITLE 23 OF THE CALIFORNIA ADMINISTRATIVE CODE. <br /> (Explain Fully)' <br /> 4. WHO REQUESTED OWNER <br /> TEST AND WHEN Name Ties Company or Aniwnon Data <br /> Addnu Telephone <br /> OWNER <br /> 5. WHO IS PAYING Comwnr.Agency or Individual Person Amhondng True Telephone <br /> FOR THIS TEST? <br /> goring Address City Sore ip <br /> Anwton o1: order No. other Inanunions <br /> Identify by Direction Capacity Brand/S.Pplier Grade Approx.Age Steal/Fiberglass <br /> 6. TANK(S) INVOLVED 5,264 DIESEL <br /> EAST 3,030 REGULAR STEEL <br /> Location Cover Fills Venn Siphons Pumps <br /> 7. INSTALLATION <br /> DATA ACROSS STREET <br /> FROM OFFICEI CONCRETE 2" 2" SUCTION <br /> Nonh Inside driveway. Concrete.Black ipp. Size.TilNlll mob.Dmp Sucli00.Rempb. <br /> Rpr of station.etc. Earth,etc. tubes.Remo"Fills Sue. <br /> MannOldld Which lank.? Make it known <br /> 6. UNDERGROUND is the water over the tank i <br /> WATER Depth to the Water table ❑ v« [� No <br /> Tonka to be filled hr. Date Arranged by <br /> 9. FILL-UP Name Telephone <br /> ARRANGEMENTS Extra product to"top off'and run TSTT. How and who to provide? Consider NO Lead. <br /> Terminal or other contact <br /> for notice or inquiry <br /> Company Ne. Telephone <br /> 10. CONTRACTOR, <br /> MECHANICS, <br /> any other contractor <br /> Involved <br /> 11. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> Additional information on any Items above.Officials or others to be advised when testing Is In progress or completed.Visitors a observers present <br /> during test eu. <br /> Tests were made on the above tank systems in accordance with test procedures prescribed for PTIMTde <br /> 12. TEST RESULTS as detailed on attached test charts with results as follows: <br /> Tank identification Tight Leakage Indicated Date Tasted <br /> NOT TIGHT YES —.497 SEPTEMBER b, <br /> REGULAR TIGHT NONE —.007 SEPTEMBER 8, 1988 <br /> This is to comity that these tank systema were tested an the dates)shown.Those,Indicated es..Tight"mMt the criteria established by <br /> 13. CERTIFICATION the Nadc"FIN Protection Asociatfon l amphM 379. <br /> Da'a <br /> CHUCK 'WE LER PETRO—a=, INC. / &A,14, <br /> Testing Contractor or company. wluwn <br /> By S <br /> 1886 414812454 271 OPPORTUNITY ST SUITE C SACRAMENTO, Ca 95838 <br /> Sww No OtThelma) Technicians AOdress <br /> Senor, <br />