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Facility Name: USA/Tesoro # 68152 Date of Testing: 3/7/13 <br />Facility Address: 401 W. Kettleman Lane — Lodi CA 95240 <br />Facility Contact: Phone: (209) 368-8787 <br />Date Local Agency Was Notified of Testing: 3/5/13 SB989 - Post Construction <br />Name of Local Agency Inspector (ifpresent during testing): <br />Company Name: ABLE Maintenance, Inc. <br />Pass <br />Technician Conducting Test: James Moore ICC # 5254517 —UT <br />Credentials: CSLB Licensed Contractor <br />0 SWRCB Licensed Tank Tester <br />License Type: A, B, Haz., CIO <br />License Number: 312844 <br />Manufacturer <br />Manufacturer Training <br />Component(s) Date Training Expires <br />Available upon request <br />Component: <br />Pass <br />Fall <br />Not <br />Tested <br />Repair.& N ot Repai <br />Mad I Component: Pass Fail Tested a <br />87 Secondary Product <br />91 Secondary Product <br />--------------;�� <br />_ <br />_ <br />�z <br />............ <br />Im <br />_ _ <br />i <br />........... .,fir <br />- - - - - - - - - <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />Used pump test truck <br />