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1. FACILITY INFORMATION <br />Facility Name: Shell/Tesoro # 68151 Date of Testing_: 3/7/13 <br />Facility Address: 35 N. Cherokee Lane — Lodi CA 95240 <br />Facility Contact: I Phone: (209) 369-1525 <br />Date Local Agency Was Notified of Testing: 3/5/13 SR989 - Post Construction <br />Name of Local Agency Inspector (ifpresent during testing): <br />2. TESTING CONTRACTOR INFORMATION <br />Company Name: ABLE Maintenance, Inc. <br />Technician Conducting Test: James Moore ICC # 5254517 —UT <br />Credentials: 0 CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester <br />License Type: A, B, Haz., CIO Lieense Number: 312844 <br />Manufacturer Training <br />Manufacturer CoTponent(s) Date Training Expires <br />Available ion request <br />3. <br />SUMMARY OF <br />TEST RESULTS <br />Component: <br />Pass <br />Fail Not Repairs <br />Tested Made <br />Component: Pass Fail Not Repairs <br />Tested --Made <br />87 Secondary Product <br />M <br />11 <br />El <br />0 <br />91 Secondary Product <br />0 <br />11 <br />El <br />0 <br />Diesel Secondary Product. <br />191 <br />D <br />0 <br />0 <br />UDC 7/8 <br />1 <br />0 <br />0 <br />1 0 <br />.. .............. . <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />Used r)umr) test truck <br />