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SWRCR,January 2002 <br /> J! <br /> Secondary Containment Testing Report Forl ®�f'��v� �o®� <br /> Stockton Service Station Equipment Co., Inc. /s�'�/CFS�I�, <br /> 808 N. Union Street, Stockton, CA 95205-4152 (209) 464-8333 FAX(209)464-8349 <br /> California Contractor License 309105 A-C61/1340 HAZ/HlC E-mail sssecokpacbell.net <br /> 1. FACILITY INFORMATION <br /> Facility Name: City of Stockton Date of Testing: December 9,2005 <br /> Facility Address: 1465 S.Lincoln St.,Stockton,CA <br /> Facility Contact: Phil Burnside Phone: 209.937.7417 <br /> Date Local Agency Was Notified of Testing: 12.07.2005 <br /> Name of Local Agency Inspector(if present during testing) <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name: Stockton Service Station Equipment Co.,Inc. <br /> Technician Conducting Test: Randy Chadwick <br /> Credentials: [X]CSLB Licensed Contractor SWRCB Licensed Tank Tester <br /> License Type: C-61/D40 HAZ/HIC License Number: 309105 <br /> Manufacturer Training <br /> Manufacturer Com ponent(s) Date Training Expires <br /> Smith Fiberglass Products Company N/A <br /> O.P.W. N/A <br /> 3. SUMMARY OF TEST RESULTS <br /> Component Pass Fail Not Repairs Component Pass Fail Not Repairs <br /> Tested Made Tested Made <br /> Spill/Overfill Containment Box,P .7 X x <br /> DIESEL <br /> If hydrostatic testing was performed,describe what was done with the water after completion of tests: <br /> (Pages 2,3,4,5,6,N/A) <br /> WATER LEFT ON SITE FOR DISPOSAL BY CITY OF STOCKTON <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> To the best of my knowledge,the facts stated in this document are accurate and in full compliance with legal requirements. <br /> Technician's Signature: Randy Chadwick Date: December 9,2005 <br /> Randy Chadwick <br /> MAILED TO: Muniappa Naidu,Senior REHS,San Joaquin County Environmental Health Dept. <br /> Copy To: City of Stockton,Phil Burnside,Corp.Yard <br />