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RE0F1`lED <br /> NOV 2 1 2018 <br /> OVERFILL WORKSHEET ENVIRONMENTAL HEALTH <br /> Afforda Testrw P°A R <br /> Facility Name: Sutter Tracy Community Hospital INFORMATIONAL ONLY <br /> Facility Address: 1420 North Tracy Blvd.,Tracy,Ca.95367 <br /> Facility Contact: Pedro Gonzalez Phone: (209)832-6032 <br /> OVERFILLS: 10-3-18 <br /> Tank Charts: Modern Welding(KT Steel) <br /> 1. TANK INFORMATION <br /> Test Method Developed By: X Tank Manufacturer ❑Industry Standard 0 Professional Engineer <br /> WIN <br /> Tank# 1 Tank#2 Tank#3 Tank#4 <br /> Tank Capacity: 10K <br /> Jacketed Double <br /> Tank Material: Wall Steel <br /> Tank Manufacturer: K&T Steel <br /> Product Stored: Dyed Diesel <br /> Diameter: 96 <br /> Length: 324 <br /> Inches/Flapper: 80 <br /> Capacity: 10152 <br /> 90% 9040 <br /> See tank chart <br /> Test Result: Pass Pass/Fail Pass/Fail Pass/Fail <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />