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ANNUAL FILL CONTAINER TESTREPORT <br />TEST DATE: June 12, 2005 <br />1. OWNER <br />Name Michael Dominguez <br />Address 2494 E. Fremont St. Stockton, CA 95205 Phone# 209-941-8743 <br />Contact Michael Dominguez <br />2. FACILITY <br />Name Fremont Shell <br />Address 2494 E. Fremont St. Stockton, CA 95205 Phone# 209-941-8743 <br />Contact Michael Dominguez <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified June 7, 2006 <br />Address 304 E Weber Avenue 3rd Floor Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Tank Team Fax # 209-468-3433 <br />Inspector Present Toua Yang <br />4. TESTING CONTRACTOR <br />Name Walton Engineering, Inc. Lie# 617238 A, B, Haz <br />Address P.O. Box 1025, West Sacramento, CA 95691 Phone # 916-373-1152 <br />Contact Michael Walton Fax # 916-373-1172 <br />Test Technician Bruce Stewart <br />5. TEST RESULTS <br />measuring equipment usea: ualaweu system zuui i vvanon tngineenng (Levei mange inaicator) <br />uescrnpiion <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Spill container depth (inches) <br />Is the spill container located in a sump? <br />Does sump have a liquid sensor installed? <br />Condition of spill container prior to testing <br />Portion of spill container tested <br />Depth of water level from bottom (inches) <br />Wait time for water level to stabilize (hr:min) <br />Test start time <br />Test end time <br />Test duration (hr:min) <br />Change in water level (t 0.000 inches) <br />Pass/Fail threshold (0.005 inches /'/z Hr.) <br />TEST RESULT <br />6. COMMENTS <br />I anK FF1 <br />I anK ?FL <br />Gasoline - 87 <br />Gasoline - 91 <br />5 <br />5 <br />OPW <br />OPW <br />14.00 <br />14.00 <br />Yes <br />Yes <br />Yes <br />Yes <br />Wet <br />Dry <br />Entire <br />Entire <br />12.50 <br />12.50 <br />0:10 <br />0:10 <br />9:55 AM <br />10:00 AM <br />10:25 AM <br />10:30 AM <br />0:30 <br />0:30 <br />0.000 <br />0.000 <br />0.005 <br />0.005 <br />PASS <br />PASS <br />Technician Signature CDate f (7 <br />