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APR-30-2010 FRI 05: 45 PM P. 044 <br /> 04/28/2010 13:26 661393 CHUCK H11-L t'Afa�- <br /> Spit Bucket Testing Report For <br /> This-form is i larded for use by contractors pedbr ing mammal lexting of ZEST spill containnct structure. Tire Completed form+arse <br /> printay0 from rests(ifapplicable),should be provided to thefacility otrner/operalorfor srtmittal to the local regut'atory agency. <br /> 1_ FACUAW, INFORMATION <br /> Facility Name: Traa Truck Sto DatcofTesein . 04/02/2010 <br /> Facility Addro : 3940 N Tracy Blvd Tracy, CA 95304 <br /> Facility Contact: Debbie 3utla Phone: 209-832-5005 <br /> Date LocW Agency Was Notified of Testing: <br /> Name of Local Agency Inspector(rflaresent Michele Henry <br /> x. TESTING CONIMACTOR)INFORMATION <br /> Company Name: EPIC Compliance S Stems Inc. <br /> Technician Conducting Test: kGeith Huston <br /> Credentials': 0 CSLB Contractor Ia ICC Service Tacks. ®SVs''RCB Tank Tester 3 Other(Spwift.) <br /> License Number(s): 580430 <br /> 3. SPILL BUCKET TESTWG 1L FORMAITON <br /> Test Me6od Used: IM Hy 'c C1 Vacuum ❑Offer <br /> Test E4uipmcnt Used: Lake Test L,quiprnent Resolado ir. <br /> Identify Spill Bucket(By Tank 1 2 T 3 !Nest HFI<o 4IE est HFto <br /> Mumber,Stored,t'ro*a etc. 87 9� <br /> Bucket installation Type: 13 Dirmt Bury M threet Bury Direct Sm 99 DIMCE Bur,-, <br /> Q Cont ilned in 1,3UMP k•3 Canbdued in Sunin Q CanWned in.15uM2 Q Coessained ih Sa <br /> Buck a Diameter: 12" 12" 12" 12" <br /> Bucket Depth: 14" 13" 12" 13" <br /> Wait time between applying 5 min S min 5 ruin 5 rain <br /> vacnumiuver and scarf of test <br /> Test Start Time(Tr): 09:35 AM 09:35 AM 12:50 PM 03:15 PM <br /> Initial Reading(RI). 33 *n 12 7/$A 11 7/16" 12 9/16" <br /> Test End'iime(TF): - 10`35 AM 01:50 PM 04:00 PM <br /> Final Reading(RF): - 12 7/8" 117116" 129116 <br /> Test Duration(TF-TI): - 1 hr 1 hr 45 mitt <br /> Change in Reading(RF-RI): - 0 0 0 <br /> Pass/Fail Threshold or 0 0 0 <br /> Criteria: <br /> Tot ReSUM L ail ® !Foca . .Q Tai[ .IM TPS Q Fail ® Pis Q Fall <br /> Comments—firrclacde information on repafra made prior to iwinp-and tests} <br /> 87 spill bucket needs to be replaced. <br /> CERTIFICATION OF T8 CLAN RESPONSIBLE ICOR CONDUCTING THIS TESTING, <br /> I hereby caro!bat ag the" *O C4nraindd In tfrfs tospvnc is Trice,aampasr,and att k11 cemp&vce wuh k9af FOWM41MM-1, <br /> Teorhtlic'san`a SigriatU2'e: ^l'its°'Er '•w. . <br /> ' State taws and regulations dos not currently require to$&&to be Wormed by a qualified eonttactor_Horwe°ver,local requicemeres <br /> may be more stringent <br />