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ATanknologf <br /> Subcontracted Services <br /> Site Name&ID#: CHEVRON 201761 Subcontractor Name: Wayne Perry <br /> Address: 1103 S. MAIN ST. Address: 30 Main Ave. <br /> City,State,Zip: MANTECA, CA 95337 City,State,Zip: Sacramento, CA 95838 <br /> Phone M X209) 825-0174 Phone#: 916-646-9680 <br /> WOM 2279307 Testdate: 12/20/2010 Tanknology Contact: Steve <br /> Site Information <br /> Tank# 1 Tank#2 Tank#3 Tank# Tank# Tank# Tank# Tank# <br /> Product SUPREME REGULAR REGULAR <br /> Tank Size 11682 11682 11682 <br /> Tank Tightness Test <br /> Tank Interstitial <br /> Line Tightness Test <br /> Line Interstital <br /> Leak Detector Test <br /> Static Torque <br /> Drop Tube Integrity <br /> Spill Bucket Leak Test <br /> 989 Turbine Sump Test <br /> Tank Cathodic Protection <br /> Line Cathodic Protection <br /> Impact Valve <br /> Flex Cathodic Protection Pressure Vent Cap RESULT ENTRY CODES <br /> 60 Day Inspection Vapor Tie P=PASS <br /> ATG Certification 10 Gallon/Min F=FAIL <br /> Pressure Decay 6-Click Test I=INCONCLUSIVE <br /> A/L Rhode Island Mon Well R=REPAIR&RETEST <br /> *IF BLANK NOT TESTED <br /> Liquid Removal Healy Quarterly Inspection <br /> Dry DBP Healy Bag Test <br /> Wet DBP Healy Line Integrity <br /> 989 Disp.Sump Test P Healy Clean Air Separator <br /> AZ Leak Test Healy ISD(Exhibit 9) <br /> Section 52 Insp. Healy Vapor/Liquid <br /> Intersticial Insp. Healy Boot Test <br /> Rule 461 Insp. <br /> Printed:02/04/2011 <br /> 11000 N. MoPac Expressway,Suite 500,Austin,TX 78759 Phone: (800)800-4633 Fax: (512)451-6344 <br /> www.tanknology.com <br />