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RECEIVED <br /> JAN 0 3 2017 <br /> 1.FACILITY INFORMATION ENVIRONMENTAL HEALTH <br /> FacilityName: USA/Tesoro#68154 Date of Testing: 12/1/16 <br /> Facility Address: 2500 W.Lodi — Lodi CA 95242 <br /> Facility Contact: Phone: (209)366-0703 <br /> Date Local Agency Was Notified of Testing: 11/17/16 SB989—3yr.Compliance Test <br /> Name of Local Agency Inspector Wpresent during testing); <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name;ABLE Maintenance,Inc. <br /> Technician Conducting Test: Chris Graham/I.C.0#5252492-UT <br /> Credentials: to CSLB Licensed Contractor D SWRCB Licensed Tank Tester <br /> License Type:A,B,Haz.,CIO License Number: 312844 <br /> I <br /> Manufacturer Trainina <br /> Manufacturer Com onent s Date Train;—V—;— <br /> Available <br /> xiesAvailable upon request <br /> 3. SUMMARY OF TEST RESULTS <br /> Component: Pass Fail Not Repairs Component: Pass Fail Not Repairs <br /> Tested Made Tested Made <br /> 87 Tank Annular ® ❑ ❑ ❑ UDC 7/8 ® ❑ ❑ ❑ <br /> 89 Tank Annular ® ❑ ❑ ❑ UDC 9/10 ® ❑ ❑ ❑ <br /> 91/DieselTank Annular ® ❑ ❑ ❑ UDC 11/12 ❑ ® ❑ ❑ <br /> 87 Secondary Product ❑ ® ❑ ❑ 87 Fill Sump ® ❑ ❑ ❑ <br /> 89 Secondary Product ❑ ® ❑ ❑ 89 Fill Sump ® ❑ ❑ p <br /> 91 Secondary Product ❑ ® ❑ ❑ 91 Fill Sump ® ❑ ❑ ❑ <br /> Diesel Secondary Product ® ❑ ❑ ❑ Diesel Fill Sump ❑ ® ❑ ❑ <br /> 87 Turbine Sump ® ❑ ❑ ❑ 87 Fill Bucket ® ❑ ❑ ❑ <br /> 89 Turbine Sump IK ❑ 1 ❑ ❑ 89 Fill Bucket ® ❑ ❑ ❑ <br /> 91 Turbine Sump ® ❑ ❑ ® 91 Fill Bucket ® ❑ ❑ ❑ <br /> Diesel Turbine Sump ® ❑ ❑ ❑ Diesel Fill Bucket ® ❑ ❑ ❑ <br /> UDC 1/2 ❑ ® ❑ ❑ 87 Vapor Bucket ® ❑ ❑ ❑ <br /> UDC 3/4 ❑ ® ❑ ❑ 89 Vapor Bucket ® ❑ ❑ ❑ <br /> UDC 5/6 ❑ ® ❑ [01 91 Vapor Bucket ® ❑ ❑ ❑ <br /> If hydrostatic testing was performed,describe what was done with the water after completion of tests: <br /> Used pump test truck <br />