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E <br />Facility Name: Tracy Blvd Shell & Mini Mart 7Date of Testing: 5/7/13 <br />Facility Address: 3725 N. Tracy Blvd — Tracy CA 95376 <br />Facility Contact: I Phone: (209) 835-7608 <br />Date Local Agency Was Notified of Testing: 5/3/13 SB989 — 3 Yr Compliance <br />Name of Local Agency Inspector ffpresent during testing): <br />2. 'FES'FING COMYRAUFUR I.NV'UIMA'I'I0N <br />Company Name: ABLE Maintenance, Inc. <br />Technician Conducting Test: James Moore / I.C.C. #5254517 -UT <br />Credentials: Z CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester <br />License Type: A, B, Haz., C10 License Number: 312844 <br />021102am <br />Manufacturer Training <br />Manufacturer Component(s) Date Training Expires <br />Available upon request <br />3. SUMMARY OF TEST RESULTS <br />Component: <br />Pass <br />Fail <br />Not <br />Tested <br />Repairs <br />Made <br />Component: <br />Pass <br />Fail <br />Not <br />--Tested <br />e <br />R pairs <br />Made <br />Tank Annulars (Wet) <br />87 Secondary Product <br />87 Fill Sump <br />89 Secondary Product <br />89 Fill Sump <br />91 Secondary Product <br />91 Fill Sump <br />Diesel Secondary Product <br />Diesel Fill Sump <br />87 Turbine <br />-Sump <br />89 Turbine Sump <br />91 Turbine Sump <br />Diesel Turbine Sump <br />------------- <br />• <br />ora <br />o <br />��� <br />t <br />_ <br />-r <br />___-_-__-- --- <br />o■., <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />Used pump test truck <br />Paperwork stolen (no back up tapes). Per Thuy Tran — submit test results as is. <br />