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MAR0 7 2016 <br /> I. FACILITY INFORMATION ENVIRONMENTAL <br /> Facility Name: Gas 4 Less Date of,festin_ 2/8/1; - <br /> Facility Address: 3434 Manthey Rd.,Stockton,CA 95206 <br /> Facility Contact: Phone: (309)2 I-7869 <br /> Date Local Agency Was Notified of Testing: 11119115 SB989—Repair—Retest <br /> Name of Local A2cncx Inspector ff present during testing): <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name:ABLE.Maintenance, Inc. <br /> Technician Conducting fest: James Moore/I.C.C.#5254517-1'T <br /> Credentials; ® CSt.B Licensed Contractor S%k'RC'R Licensed Tank,rester <br /> License V%pe: A, B.Flaz.,C10 License Numher: 312844 <br /> Nlanufacturer Training <br /> Manufacturer Componcnt(s) Date Training Fx ires <br /> Available upon request <br /> 3. SUMMARY OF TEST RESULTS <br /> Compnoent: Pass Fail Not Repairs — nmpnnenC — — Pass Fail Not Repairs <br /> _ Tested Made Tested Made <br /> 87 Turbine Sump ® p <br /> _ J <br /> i <br /> I <br /> I1'hydrostatic testis—, was perfonned,describe what\N as done with the water after curnplc6011 ol'tests: <br /> Used pump test truck <br />