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SWRCB, January 2002 Page 1 of 5 Seconda'Fy Containment Test Report Foirm This form is intended for use by contractors performing periodic testing of UST secondary containment systems. Use the appropriate pages of this form to report results for all components tested. The completed form, written test procedures, and printouts from tests (if applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. 4 cern ITV INFf1RMATIAN acility Name. Yellow Transportation TCY Date of Testing: 11-7-2007 acility Address: 1535 E. Pescadero Ave. Tracy CA 95376 acility Contact: hris Roy jPhone: 209-833-1300 Date Local Agency Was Notified of Testing: 11-5-2007 ame of Local Agency Inspector (if present during testing) lNot Present Company Name: Slunaker Construction Technician Conducting Test: Paulo Magana redentials: O CSLB Licensed Contractor O SWRCB Licensed Tank Tester License Type-. icense Number: 03-1644 Manufacturer Training Manufacturer Component(s) Date Training Expires INCON TS -STS FRANKLIN FUELING 3-6-2009 Fail Not Tested Repairs Made 3. SUMMARY OF TEST RESULTS Component Pass Fail Not Tested Repairs Made Component Pas Fail Not Tested Repairs Made CY1 SOAP Fill Sump ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ CY1 SOAP Spill Bucket ® ❑ ❑ ❑ TCY2 Waste Oil Ann. ❑ ❑ ® ❑ CY1 SOAP Sec. product line ® ❑ ❑ ❑ TCY2 Sec. vent line ® ❑ ❑ ❑ CY1 Soap Tank Annular ® ❑ ❑ ❑ TCY2 Sec. product line ❑ ❑ ® ❑ ❑ ❑ ❑ ❑ TCY2 Waste Oil Fill Sump ❑ I ❑ ® 1 ❑ CY7 DSL WAS. Fill ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ CY7 DSL WAS. Sp Buc. ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ CY7 Sec. vent line ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ CY7 Sec. product line ❑ ❑ ® ❑ ❑ ❑ ❑ ❑ CY7 DSL Waste Ann. ❑ ❑ ® ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ If hydrostatic testing was performed, describe what was done with the water after completion of tests: .T.GY..ZLnr�te..ail1...�..xlKX:l..ldiesel.wastel.ace.pcin�flled..fa.W. F1i.P...1anKst..aod..ther,ztrart".tlxe.annulsrs.are..P..xlraA.t........ fr.9m..t�sting ........................ .......... ...................... .............. ............ ................................... ............ ...... ........................................ ............ ............ ............. .............. Inst. wxater..li:tt.oa�i.i rf .SS.9aICam.drums............................. ............ ................................... ............ .................................... ....................................... CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING To the best of my knowledge, the fads stated in this document are accurate and in full compliance with legal requirements Technician's Signature i'' Date: 11-7-2007