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Site Tested Test oerformed by m <br /> C- GilbNR Testing Product and Vapor Overfill Containment Serv. Sts. Sys. a <br /> Safeway 2707 680 Quinn Ave. <br /> CE <br /> 6425 N. Pacific Ave. Test Res u Its San Jose CA 95112 0 <br /> Stockton, CA 95207- License#: 485184 ~ <br /> OD m Tech: Randy Wilkerson <br /> Test Date: <br /> 4191�7 <br /> rt <br /> Test Method Developed By: ❑Spilt Bucket Manufacturer ❑7t Industry Standard ❑Professional Engineer ❑Other(Spwify; Test Method Used: ®Hydrostslic ❑ Other(Specify) <br /> m Test Equipment UsedUeasuring Tape Equipment Resolut on:1(16 In. Example-t/a"increments Pass/Fail Threshold or Criteria: Zero Loss <br /> v <br /> Product Fill Bucket Vapor Fill Bucket <br /> Walt Time Pass Pass <br /> Tank$Grade (min) Start Stop (hrs.) Gal. Depth Initial-Final=Change /Fall Gal. Depth Initial-Final=Change !Fail <br /> 0 '30 /;30 Irl /zY <br /> I�F3v <br /> N <br /> QI <br /> N <br /> (!1 <br /> n <br /> C <br /> O <br /> ro <br /> v <br /> U <br /> L <br /> L <br /> W <br /> N <br /> 0 <br /> m <br /> Comments: Include information on repairs made prior to testing, and recommended follow-up for failed tests. <br /> C- <br /> CD K <br /> N <br /> G <br /> M <br /> I <br /> d <br /> Q <br />