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SWRCB,January 2006 <br /> SPILL BUCKET TESTING REPORT(FORM <br /> This farm is intenclecl for use by contretctors perfcn•nrin;amruai lesting of UST spill contairtnrerrt struclru•es. The completed farm and printout f om <br /> tests(if applicable),should be pr•ovicled to the facility mvner/operator--for submittal to the local regulator v 09ency- <br /> 1.FACILITY INFORMMATION <br /> Facility Name:BP Arco Date of Testin : 10/03/2008 <br /> Facility Address: 1617 W FREMONT STOCKTON,CA 952032038 <br /> Facility Contact: lFacility Phone:209-462-1617 <br /> Date Local Agency Was Notified of Testing:09/29/2008 <br /> Name of Local Agency Inspector if present duripg.testing):Ra Von Flue <br /> 2.TESTING CONTRACTOR INFORMATION!' <br /> Company Name:TAIT ENVIRONMENTAL SERVICES <br /> Technician Conducting Test:Dra an Pesic <br /> Credentials: SWRCB Tank I <br /> ®CSLB Contractor ®TCC Service Tech ❑-fester ❑Other(Specify) <br /> License Numbers :A ASB HAZB C-10; 588098:5240928-UT <br /> 3.SPILL BUCKET TESTING INFORMATION <br /> Test Method Used ®Hydrostatic ❑Vacuum ❑Other <br /> Test E ui ment Used:Tape/Paint Marker ]Equipment Resolution: 1/16" l <br /> Identify Spill Bucket(By Tank Number, 187 Master Fill 2 87 Master Vapor 3 87 Siphon Fill 4 87 Siphon Vapor <br /> Stored Product,etc) <br /> Bucket Installation Type ❑Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury <br /> ®Contained in Sump ®Contained in Sump ®Contained in Sump ®Contained in Sump <br /> Bucket Diameter inches I l 1 I I I 1 1 <br /> Bucket Depth inches 14 14 15 141/2 <br /> Wait Time between applying 15 min 15 min 15 min 15 min <br /> vacuutn/water and start of test <br /> Test Start Time: 9:30 9:30 9:30 9:30 <br /> Initial Reading Ri): 9 10 10 1/2 91/4 <br /> Test End Time: 10:30 10:30 10:30 10:30 1. <br /> Final Reading(Rf): 1/2" 7" 101/2 91/4 <br /> Test Duration: 1 hour I hour 1 hour 10hour 1 <br /> Chan a in Reading Rf-Ri : 8 1/2 13 110 110 <br /> Pass/Fail Threshold or Criteria: Visual Fail Visual Fail 110 _:::1 <br /> Test Result Fail Fail Pass Pass <br /> Comments:Test water left onsite in existing 55 gallon drum. <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> I hereby certify that all the information con0ined in this report is true,accurate and in full compliance with legal requirements I. <br /> 1. <br /> Technician's SignatureAae,�,e- — Date 10/03/2008 <br /> t; <br /> t <br /> 1 <br />