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It <br />Sacramento a <br />Equipment Mintenance Co -- <br />many Inc <br />2533 Connie Drive Calif. Contr. License /502377 <br />Sacramento, CA 95815 Wo10 56634 <br />(916) 925-2716 <br />PLEASE PRINT Data Chart for Tank System Tightnessst u ,# 11195 <br />1. OWNER Propsrlyp BP Petroleum America - 2868 Prospect Park Drive - Suite 360 <br />Tank (a) ❑ Nam Add"" T <br />a 1 -0 <br />.. <br />Nome Address Representative Telachans <br />2. OPERATOR <br />3. REASON FOR tv <br />TEST <br />(Explain Fully) <br />4. WHO REQUESTED FS:ames 1 <br />TEST AND WHEN T"1e <br />5. TANK INVOLVED <br />Use additional firms <br />for mardfolded tanks <br />6. INSTALLATION <br />DATA <br />8. FILL -UP <br />ARRANGEMENTS <br />9. CONTRACTOR, <br />MECHANICS, <br />any other contractor <br />Involved <br />10. OTHER <br />INFORMATION <br />OR REMARKS <br />11. TEST RESULTS <br />12. SENSOR <br />CERTIFICATION <br />Data <br />serial ft. Of Than" <br />Telephone <br />Address <br />Telephone <br />Identify by Direction capacity <br />Brand/Supp Grade <br />Approx. Ape <br />SteeUFw"lass <br />✓ <br />�'_ <br />Location cover <br />S¢� <br />Nortih khei0e driveway. concrete. Black Top. <br />Rev of station. oto. Earth. arta <br />Fitts vents <br />Sae. nte6n make. Drop <br />tuba. Remote Fins I Stm. RWk"olksd <br />Siphon" <br />� <br />which tanks? <br />Pun" <br />suction. Remote, <br />Make N known <br />// <br />Depth b to water " _MQ h z lir/ P_ ll Lit n o Piz, <br />Tanks b b M. Date Affarged by <br />Extra Product b Sop otr and nn Unit tester. How and who b provide? Consider NO Lead <br />Terminal or saw contact <br />for notice or Inquiry <br />Company <br />Is tank?water over the tank? <br />Ores JON., <br />Name <br />twee <br />Telepfhoehe <br />Telephone <br />Additional Information on any "ems above. Officials or others Is be advised when taping Is In proyrats or completed. visitors or observers prewa during test. ens. <br />Tests were made on the above tank systems In accordance with test procedures prescribed for <br />as detailed on attached tat charts with results as follows: <br />Tank Identification TWd Leakage Indicated Cate Tested <br />DO p <br />, <br />-0.2 2 '{ <br />_ <br />_akL akf, Vils»r r <br />�l <br />13. This Is to certify that these tank systems were tested on the date(s) shown. Those Indicated as "Tight" meet the criteria established by <br />the National Fire Protection Asaoclstion Pamphlet 329. <br />T <br />ft is to responsibility of are owner and/or operator of this system b ivnediaUly advise state and teal authorities of any <br />(� Implied hazard and the possibility of any mPWW le pollution b the enakamad as a result of the indicated failure of this <br />IL 4 4t .y,t eelfff system. Heads Comathuft Incorporated and/or SACRAMENTO EQUIPMENT MAINTENANCE COMPANY, INC. does not <br />G assume any responsibility or liability for"of product to the environment. <br /># <br />certification# %�%��CD3� Tank Owner/ Gf/ ,�"'✓a" <br />it» <br />