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SECONDARY CONTAINMENT TESTING - REPORT FORM <br />TESTING DATE: June 2, 2003 <br />I. OWNER INFORMATION <br />Name Mel Bokides Petroleum, Inc. - <br />Address P.O. Box 7747, Stockton, CA 95267 Phone # 209-472-3491 <br />Contact Nick Bokides JUN 0 4 2003 <br />!. FACILITY INFORMATION <br />Name MBP Manteca PERMIT/SERVICES <br />Address 983 Moffat Blvd., Manteca, CA 95336 Phone# 209-472-3491 <br />Contact Nick Bokides <br />3. LOCAL AGENCY INFORMATION <br />Name San Joaquin County Environmental Health Notified May 29, 2003 <br />Address 340 Weber Ave., Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Michelle Stemi-Le Fax # 209-468-3433 <br />Inspector Present None <br />1. TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. Lie# 617238 A, B, Haz <br />Contact Michael Walton Phone # 916-373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 Fax# 916-373-1172 <br />Test Technician James Day <br />5. SUMMARY OF TEST RESULTS <br />Number of Tank Annulars 0 <br />Number of Secondary Lines 2 <br />Number of Piping Sumps 0 <br />Number of Spill Containers <br />Number of UDC's Tested <br />0 <br />1 <br />Component <br />Pass Fail <br />Component <br />Pass Fail <br />Annular - Tank #1 <br />Gasoline - 87 <br />Spill Container #1 <br />Gasoline - 87 <br />Annular - Tank #2 <br />Gasoline - 91 <br />Spill Container #2 <br />Gasoline - 91 <br />Annular - Tank #3 <br />Diesel <br />Spill Container #3 <br />Diesel <br />Secondary Line #1 <br />Gasoline - 87 <br />U D C #1 <br />Disp # 1/2 <br />Secondary Line #2 <br />Gasoline - 91 <br />U D C #2 <br />Disp # 3/4 <br />Secondary Line #3 <br />Diesel • <br />U D C #3 <br />Disp # 5/6 <br />Secondary Line #4 <br />Diesel (7/8 - 8 Sat.) • <br />U D C #4 <br />Disp # 7/8 • <br />Piping Sump #1 <br />Gasoline - 87 <br />U D C #5 <br />Disp # 8 Sat. <br />Piping Sump #2 <br />Gasoline - 91 <br />Piping Sump #3 <br />Diesel <br />6. COMMENTS <br />This is a retest of both diesel lines and the UDC for dispenser #7/8 only. This facility was previously tested <br />on October 22, 2002. <br />I ��� Date 1- 3 -0 3 <br />Technician Signature <br />•© 2003 Walton <br />