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Sacramento Equipment Maintenance Company lnc <br /> Calif.Conte License a502377 <br /> 2533 Connie Drive woF 58218 <br /> Sacramento, CA 95815 <br /> PLEASE PRINT <br /> 6 Data Chart for Tank System Tightness Test Station# 3/492 <br /> PLEASE PRINT <br /> 1. OWNER Fbpan,0 Ultramar Inc. P.O. Bi-,x 466 Hanford CA 93232 Julie Caldwell <br /> /,(area, n•Dre•wll nv T•leploa <br /> T.nkf.i❑ N.m. - 41 <br /> Nemo Marga MDr••aratM T•Ispibra <br /> 2. OPERATOR Beacon 470 Main St. Manteca CA 209 823-1344 <br /> Nemo Marro <br /> Telephone <br /> 3. REASON FOR <br /> TEST County permits <br /> (Eeplaln Folly) <br /> 4. WHO REQUESTED <br /> TEST AND WHEN Na. This Deepam'or Atfllletbn Del. <br /> Addeo Telephone <br /> Identify by DrMion cw&oy awndrauppller areas App...Aae thw1*11berDln• <br /> 5. TANKINVOLVED <br /> la•adatbntl Ilne• _ <br /> for mmifold•d tanks <br /> W <br /> brrallon Cor« FIII• Vara Now. <br /> 8. DATA INSTALLATION r6r6f L7/ <br /> S'4p� G01-,r /her R sr� <br /> North Imide drMwey. Concur• lac Top. 64•,mteilll mak•,drop eadian.R•rnoa <br /> Rew a eledan,•tc. uM.ata. tube.wmot•Fi1LL etre.AanibldWI Wldch arks? IMeh•X 4gwn <br /> 7. UNDERGROUND eats wmrow he ark? <br /> WATER D•Pnia"wateraW dexdj' tQ ❑Ya 19. <br /> 8. FILL-UP Tenbb MNaa hn M• M•rpMw Name T•I•pMa <br /> ARRANGEMENTS Evtr.Produce a tp ar erM run ark tatty. klow ard Na b%a+at Dorrakr ND ta.a <br /> TwminY er>WM orad <br /> for rrotla or egWry, CofearsfearsTlarian• <br /> mp•ry <br /> 9. CONTRACTOR, A)lk <br /> MECHANICS, <br /> wry other comrshl <br /> brwMd <br /> 10. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> M(nbnel Inlomelbn pn arY gems•mra OakW«alae b b eecbsd elan tealrp r ti proprr«rompMM.w•non«ohe•n•n p••wn durkq a•C wo. <br /> Tests were made on the above tank systems In accordance with test procedures prescribed for <br /> 11. TEST RESULTS as detailed on attached test charts with results as follows: <br /> Tank ldwrtlltatbn Tidrd taek•se tndwatel We T•dM <br /> ye " unleaded <br /> 492=2 premium <br /> 492-3 regular <br /> 12. SENSOR 13.This Is to certify that these bank systems were tested on the date(s)shown.Those Indicated as"Tight"meet the criteria established by <br /> CERTIFICATION the National Fire Protection Association Pamphlet 329. <br /> it lathe resyonslbihly dthe armarandloroperaloraflflls aynom lolmmeoony aNse slateand loal.whorifial my ' <br /> Implied hazard and the p%Nbliny of any reportable polution to the ennronment as a result of the Irdimtad fellate of Nis <br /> Date L system.Heath Consultants lncapohned ardlor SACRAMENTO EQUIPMENT MAINTENANCE COMPANY,INC tloesmt <br /> assume my responsibility or liability for any loss of product to the environment. <br /> serial W.of IhermY cwnacabn a <br /> Smear, -1 <br /> CwtlnUlbnI Le UN(;(44 W""O Tank C,marl0%ralor Data v I O <br /> 101 <br />