Laserfiche WebLink
m,cp, Idtnitit'y 2002 page I of 7 <br />Secondary Containment Testing Report Form, <br />Stockton Service Station Equipment Co., Inc. <br />808 N. Union Street, Stockton, CA 95205-4152 (209) 464-8333 FAX (209) 4648349 <br />California contractor License 309105 A -C61040 HAVHIC E-mail sssee acbe�n£t <br />1. FACILITY INFORMATION.. ate of'I satin :Aril <br />1 amtt. Ci ofstookion, Cor oration Yard <br />Addiess: )1465 S..Lincrllit Street, Stockton, GA 95206 panne- 209.937-7416 <br />Credeirtials: 3t ] CS'LB Licensed Contractor <br />License Type; CA61/D40 HAZ/HIC 11 <br />3. SUMMARY OF <br />Fail Not Repan <br />Tested I Mad' <br />Service Tcch #XX4i 41014045 <br />[ ] SWRCB Licensed Tank Tester <br />License Number 309105 <br />RESUL'T'S <br />Component <br />WA3 pt �rfortned, desCrlbc Wlfet WAS doth! with the WAteR' a r <br />of tests: <br />Not I Repairs <br />PAGES 2 and 6 N/A <br />J*L4t 116jilo Piked & MOW to: SAN jOAQUIN (X). CITY of TOCH"TON, MISS 1M WILLIA AL HEALTH DEPT,, MR. RAY VON FLUE <br />,ag t'mcA1'ION OF TtCHNICIAN RFSpONSISIX FOIL CONDUCTIN(: � HIS TEST <br />I ING <br />To the best of my knowledge, the facts stated in this document arc accurate and in full compliance with legal requirements, <br />Techiiiciati's Sigtiaturc: eta +e ederson <br />Date: April 9, 2009 <br />