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0 <br />I 14111 • i' 11 ` <br />1. OWNER INFORMATION ®������(�IU <br />Name Mel Bokides Petroleum, Inc. <br />Address P.O. Box 7747, Stockton, CA 95267 Phone # 209-472-3491 <br />Contact Nick Bokides ?nn7 <br />2. FACILITY INFORMATION <br />HEALTH <br />Name <br />MBP Manteca <br />ENVIRONMEN1 <br />Address <br />983 Moffat Blvd., Manteca, CA 95336 <br />PERMIT/SERVICES <br />Phone # <br />209-472-3491 <br />Contact <br />Nick Bokides <br />Annular - Tank #1 <br />Gasoline - 87 <br />• <br />O <br />Annular - Tank #2 <br />.. <br />3. LOCAL AGENCY INFORMATION <br />Name <br />San Joaquin County Environmental Health Notified <br />October 15, 2002 <br />Address <br />340 Weber Ave., Stockton, CA 95202 <br />Phone # <br />209-468-9847 <br />Contact <br />Michelle Sterni -Le <br />Fax # <br />209-468-3433 <br />Insaector Present <br />Gasoline - 87 <br />• <br />O <br />4. TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. Lic#/Class 617238 A, B, Haz <br />Contact Michael Walton Phone # (916) 373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 <br />Test Technician James Day <br />5. SUMMARY OF TEST RESULTS <br />Number of Tank Annulars Tested <br />Number of Piping Sumps Tested <br />2 <br />3 <br />Number of Secondary Lines 4 <br />Number of UDC's Tested 5 <br />Component <br />Pass Fail <br />Comments <br />Annular - Tank #1 <br />Gasoline - 87 <br />• <br />O <br />Annular - Tank #2 <br />Gasoline - 91 <br />2nd compartment of a 2 compartment tank. No testing performed. <br />Annular - Tank #3 <br />Diesel <br />• <br />O <br />Secondary Line #1 <br />Gasoline - 87 <br />• <br />O <br />Secondary Line #2 <br />Gasoline - 91 <br />• <br />O <br />Secondary Line #3 <br />Diesel <br />O <br />• <br />Secondary Line #4 <br />Diesel (7/8 - 8 Sat.) <br />O <br />• <br />Piping Sump #1 <br />Gasoline - 87 <br />• <br />O <br />Piping Sump #2 <br />Gasoline - 91 <br />• <br />O <br />Piping Sump #3 <br />Diesel <br />• <br />O <br />U D C #1 <br />Disp # 1/2 <br />• <br />O <br />U D C #2 <br />Disp # 3/4 <br />• <br />O <br />U D C #3 <br />Disp # 5/6 <br />• <br />O <br />U D C #4 <br />Disp # 7/8 <br />O <br />• <br />U D C #5 <br />Disp # 8 Sat <br />• <br />O <br />® 2002 <br />Technician Signature Date 1,l c/ <br />