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APR -27-2006 07:08 Service Station Systems 408 938 8888 P.02 <br />ANNUAL TEST RESULTS FOR THE PRODUCT AND VAPOR OVERFILL CONTAINMENT <br />Site Name: Safeway 2707 <br />Test Company Ser. Sta. Sys, <br />icense 0;485184 <br />Address: 6425 N. Pacific Ave, <br />Aaaress: 680 Quinn Ave. <br />Stockton, CA 95207- <br />San Jose CA 95112 <br />Data :4/10/06 <br />Technician: MattMU103hy <br />ICC#=5259466-UT <br />Test Method Developed By. E] Spill Bucket Manufacturer Z Industry Standard ©Professional Engineer <br />ā¯‘Other(Specify) <br />Test Method Used: [@Hydrostatic <br />© Other(Specify) <br />Test Equipment Used:MeaSUring Tape Equipment Resoluticn:l/16 in. <br />Example- 118" increments <br />Y <br />Spill Box #01Regu SPIII Box#02Prem <br />Spill Box #03Diese Spill Box Al <br />Fill Vapor Fill Vapor <br />Fill Vapor <br />Fill Vapor <br />Bucket Capacity in gallons: <br />5 j 5 5 <br />5 <br />5 j <br />Bucket Depth: <br />14.0 in.; 14.0 in. 14.0 in. <br />14.0 in. <br />14.0 in.1 0.00 in. <br />in.' in. <br />Waft time between filling with <br />water and starting test: <br />1 min. 1 min. <br />1 min. <br />min. <br />Test Start Time: <br />10:00 a 10:00 a <br />10:00 a <br />Initial Reading (RI); <br />7.00 1n.1 <br />9.00 in. 7.50 in.i 5.50 in. <br />9.50 in.j 0.00 in <br />in.; in. <br />Test End Time: <br />11:00 a 11:00 a <br />11:00 a <br />Final Reading (RF): <br />7.00 in.; 9.00 in. 7.50 in.! <br />5.50 In. <br />9.50 in. <br />0.00 in. <br />in. <br />in. <br />Test Duration: <br />1.00hr. 1.00hr. <br />1.00hr. <br />hr. <br />Change in Reading (RI - RF): <br />0.00 <br />1 0.00 0.00 <br />I o.00 <br />0.00 0.00 <br />Pass/Fail Threshold or Criteria: <br />Zero Loss Zero Loss <br />Zero Loss <br />Zero Loss <br />Test Result <br />Pass Pass Pass <br />Pass <br />Pass PasB <br />Spill Box # Spill Box # <br />Spill Box # <br />Spill Box # <br />Fill ! Vapor Fill Vapor <br />Fill Vapor <br />Fill -7 Vapor <br />Bucket Capacity in gallons: <br />Bucket Depth: <br />in. in. n. in. <br />ind in. <br />in. <br />Wait time between filling with <br />water and starting test: <br />min. min. <br />min. <br />min. <br />Test Start Time: <br />Initial Reading (RI): <br />ind in. in. in, <br />in.j in. <br />in.'I <br />Test End Time: <br />Final Reading (R F): <br />in.l in. in.j in. <br />in.I in. <br />in.l <br />Test Duration: <br />hr. hr, <br />hr. <br />hr. <br />Change in Reading (RI- RF): <br />Pass/Fail Threshold or Criteria: <br />Zero Loss Zero Loss <br />Zero Loss <br />Zero Loss <br />Test Result:, <br />Comments: <br />