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RECEIVED <br />Facility Name: Shell/Tesoro 4 68151 1/04/Hr—I <br />Facility Address: 35 N. Cherokee Ln. — Lodi CA 95240 <br />Facility Contact: Melissa Torres 7T Phone: (209) 369-1525 <br />Date Local A-enev Was Notified ofTesting : 12/27/16 SB989 — 3yr. Compliance Test <br />Name of Local Agency Inspector (if present during testing): <br />2. TESTING CONTRACTOR INFORMATION <br />Company Name: ABLE Maintenance. Inc. <br />, Technician Conducting Test: Shaun Maionel 1,C.C, #8320932 <br />Credentials: Z CSLB Licensed Contractor SWRCB Licensed Tank Tester <br />License Type: A, B, Haz., CIO I License Number: 312844 <br />Manufacturer Trainin <br />I Available upon request <br />Date Train i <br />Not Repairs <br />Component: Pass Fail Tested Made <br />I Not Repa <br />Component: Pass Fail Tested Ma <br />L 87 Tank Annular <br />91 Fill Bucket <br />91 Tank Annular <br />Diesel Fill Bucket <br />Diesel Tank Annular <br />E] <br />jj[,jMIIIMjT*M0*j1 <br />M <br />L 87 Secondary Product <br />91 Secondary Product <br />Diesel Secondary Product <br />-_ <br />a <br />��� <br />87 Turbine Sump <br />- --- - <br />-------- -- <br />: L—Diesel Turbine Sump <br />�■� <br />�o©moo <br />___ <br />DC 5/6 <br />UDC 7/8 <br />87 Fill Bucket <br />o <br />:roe <br />...... . ... <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />Used pump test truck <br />