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MAR-23-2005 09:31 Se-rice Station Systems 408 938 8888 P.02 <br /> ANNUAL TEST RESULTS FOR THE PRODUCT AND VAPOR OVERFILL CONTAINMENT <br /> Safeway-2808 Country Club Station Date:11/27/05 <br /> Test Method Developed By: 0 Spill Bucket Manufacturer O Industry Standard 0 Professional Engineer <br /> 0 Other(Spec) <br /> Test Method Used: 17 Hydrostatic <br /> O Other(Spec) <br /> Test Equipment Used:Measuring tape Equipment incre <br /> Exam le - 1/S/8" utincrements <br /> Spill Box#87 Spill Box 089 Sp0l Box#91 Spill Box# <br /> Bucket Capacity in gallons: 5V 5F 5V 5F 5V 5F <br /> Bucket Depth: 12" 12" 12" 12" 12" 12" <br /> Wait time between filling with <br /> water and starting test: <br /> Test Start Time: 3:45pm 3:45pm 3:45pm 3:45pm 3:45pm 3:45pm <br /> Initial Reading(R): 6" 6" 6%2" 6" 6" 6" <br /> Test End Time: 4:45pm 4:45pm 4:4Spm 4:45pm 4:45pm 4:45pm <br /> Final Reading(Rr): 6" 6" 6 Ya" 6" 6" 6" <br /> Test Duration: lhr lhr lhr lhr Ihr lhr <br /> Change in Reading(Ri-Rt): 0 0 0 0 0 0 <br /> Pass/Fail Threshold or Criteria: ZERO LOSS ZERO LOSS ZERO LOSS ZERO LOSS <br /> CononlCntS-(include information on repairs made prior to lesti% and recommendedfollow-up forfailed tests) <br /> i <br /> Tested By: Service Station Systems, Inc. Technician: Randy <br /> Contractor License: 485184 <br /> TOTAL P.02 <br />