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WKNKNOLOGY CERTIFICATE OF TESTI( <br />7ankno/Ogy 890u SHOAL CREEK, BUILDING 200 AUSTIN, TEXAS 76, j7 <br />TELEPHONE (512) 451-6334 FAX (512) 459-1459 <br />PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 2234065 <br />TEST DATE: 01/18/05 <br />CLIENT: 7 -ELEVEN, INC. <br />20819 72ND AVE. SOUTH <br />SUITE 206 <br />KENT, WA 98032 <br />RANDY MARTIN <br />(253)796-7170 <br />CUSTOMER PO: <br />SITE: 7 -ELEVEN # 19976 MKT 2237 <br />1399 N. MAIN ST. <br />@ NORTHGATE <br />MANTECA, CA 95336 <br />MANAGER <br />(209)239-3252 <br />Tank Tinhtnacc Tactc Ractiltc TFSTTVPF• V;kmjTPr} <br />TANK <br />PRODUCT <br />TANK <br />TANK <br />TANK <br />PRODUCT <br />EXTERNAL' <br />TEST RESULT <br />TEST RESULT <br />ID <br />TEST RESULT <br />CAPACITY <br />DIAMETER <br />MATERIAL <br />LEVEL <br />WATER LEVEL <br />WET <br />ULLAGE <br />4 <br />REG UNLEAD <br />14,781 <br />90.00 <br />DW FIBERG <br />RED JACKET <br />FX1V <br />309017605 <br />P <br />5 <br />PREMIUM <br />9,684 <br />90.00 <br />DW FIBERG <br />0.009 <br />TLD -1 <br />Y <br />5 <br />W Here regwauuns reyutre, for vacu teci external water level may oe aeptn of cry weu or water is assumea at lowest point inat can ne contirmea dry. <br />Prnrltirt Pine Tirthtnacc Tact Raciiltc <br />LINE <br />LINE <br />DELIVERY <br />LEAK DETECTOR #2 <br />LINE <br />TEST <br />IMPACT <br />SERIAL # <br />RESULT <br />MANUFACTURER <br />TEST RESULT <br />FINAL LEAK RATE (VALVE <br />RESULT <br />ID <br />ID <br />MATERIAL <br />TYPE <br />A B C D <br />A B C pPh) <br />METHOD <br />SERIAL # <br />RESULT <br />4 <br />RED JACKET <br />FX1V <br />309017605 <br />P <br />FUNCTION <br />4 <br />ENVIRON <br />PRESSURE <br />P <br />0.009 <br />TLD -1 <br />Y <br />5 <br />ENVIRON <br />PRESSURE <br />P <br />0.009 <br />TLD -1 <br />Y <br />FYictinn I ina I aak Datar-tnr Tact 1 <br />New Renlar_emPnt Line Leak Detertnr TPst 1 <br />EXISTING LEAK DETECTOR #1 <br />EXISTING <br />LEAK DETECTOR #2 <br />LINE <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />ID <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />4 <br />RED JACKET <br />FX1V <br />309017605 <br />P <br />5 <br />VAPORLESS <br />LD2000 <br />UNREADABLE <br />P <br />New Renlar_emPnt Line Leak Detertnr TPst 1 <br />ror owner oetai lea report mtormation, visit www.tanknology.com and select Un -Line Keports-W KAP, or contact your local fanknology ottice. <br />Tester Name: HEATH MCEVER Technician Certification Number:04-1677 <br />Tester Signature: Date Signed:�� <br />I declare and enalty of perjury that I am a licensed tank tester in the State of Califomia and that the information contained in this report <br />is true and correct to the best of my knowledge. <br />RE LACED LEAK DETECTOR #1 <br />REPIL CED LEAK DET=-CTOR#2 <br />LINE <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />MANUFACTURER <br />MODEL # <br />SERIAL # <br />RESULT <br />ID <br />ror owner oetai lea report mtormation, visit www.tanknology.com and select Un -Line Keports-W KAP, or contact your local fanknology ottice. <br />Tester Name: HEATH MCEVER Technician Certification Number:04-1677 <br />Tester Signature: Date Signed:�� <br />I declare and enalty of perjury that I am a licensed tank tester in the State of Califomia and that the information contained in this report <br />is true and correct to the best of my knowledge. <br />