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1.FACILITY INFORMATION <br /> Facility Name: Nu Star Energy Date of Testing. 5112115 <br /> Facility Address: 3505 Navy Drive,Stockton CA 95206 <br /> Facility Contact: I Phone: (209)943-5662 <br /> Date Local Agency Was Notified of Testing:5/4/15 SB989—3yr.Compliance Test <br /> Name of Local Agency Inspector(if present during testing): <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name:ABLE Maintenance,Inc. <br /> Technician Conducting Test: James Moore/I.C.C.#5254517-UT <br /> Credentials: ® CSLB Licensed Contractor ❑SWRCB Licensed Tank Tester <br /> License T)Te:A,B,Haz.,C10 License Number; 312844 <br /> MIN I <br /> Manufacturer Trainine <br /> Manufacturer Component(s) Date Training Expires <br /> Available upon request <br /> 3. SUMMARY OF TEST RESULTS <br /> Not Repairs Not Repairs <br /> Component: Pass Fail Tested Made Component: Pass FailNot <br /> Made <br /> Tank 1 Annular [D ❑ ❑ ❑_ <br /> Secondary Product 1 ❑ ❑ ❑ <br /> Secondary Product 2 D ❑ ❑ ❑ <br /> Turbine Sump 1 D ❑ ❑ <br /> If hydrostatic testing was performed,describe what was done with the water after completion of tests: <br /> Used pump test truck _ <br /> RE(;L,Vt:L <br /> OCT2 8 2m <br /> ENVIRONMENTAL <br /> HF'Q 1 Tu <br />