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0 0 <br /> Spill Bucket Testing Report Form <br /> 1. FACILITY INFORMATION <br /> Facility Name: Tracy BP Service Date of Testing: Thursday,June 28,2007 <br /> Facility Address: 2375 Tracy Blvd.,Tracy CA 95376 <br /> Facility Contact: Hyunh Linh Phone: (209)835-7755 <br /> Date Local Agency Was Notified of Testing: Friday,June 08,2007 <br /> Name of Local Agency Inspector(if present during testing): Michelle Henry <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name: Alltech Petro Inc, 17759 Buttercup Circle,Sonora CA 95370.(209)532-7320 <br /> Technician Conducting Test: Mike Dotten,Dave Hanson <br /> Credentials: CSLB Contractor ICC Service Tech. SWRCB Tank Tester Other(Specify) <br /> License Number(s): CSLB 623541; ICC 5259412; Tank Tester 90-1068 <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic ❑Vacuum Other <br /> Test Equipment Used: One Hour Observed Test Equipment Resolution 1/16" <br /> ,.u. � ,., ,.,v . .z .. ,. .,.. u,�,s,. <br /> Identify Spill Bucket(By Tank 1 Reg 87 2 Premiun 91 3 Racing 100 4 Waste Oil <br /> Number,Stored Product,etc. <br /> Bucket Installation Type: tDirect Bury Direct Bury Direct Bury Direct Bury <br /> Sum In Sum In Sum In Sum <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying 0 0 0 0 <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): 10:30 10:30 10:30 10:30 <br /> Initial Reading(RI): Bottom of cap Bottom of cap Bottom of cap Bottom of cap <br /> Test End Time(TF): 11:30 11:30 11:30 11:30 <br /> Seam at bottom of Bottom of ca Bottom of cap <br /> Final Reading(RF): Bottom of cap bucket p <br /> Test Duration(TF–Tt): 1.0 Hr. 1.0 Hr. 1.0 Hr. 1.0 Hr. <br /> Change in Reading(RF-R,): 0.0 8" 0.0 0.0 <br /> Pass/Fail Threshold or 0 0 0 0 <br /> Criteria: I —a <br /> Test Result• N Pass El Fail 0 Pass 0 Fail Pass ❑Fail Pass ( Fail <br /> _Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> Premium(91)failed due to a leak in the seam. Elite IV was dispached to repair the problem. <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements. <br /> Technician's Signature:_ Date: 5/17/07 <br />