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o% LEAK DETECTION 1' E C H N U L U G l E S Exclusive Providers for MDleak@, MCleak@ and PHDleak@ Technologies 2765 East Wieding Road • Tucson,AZ 85706 • Phone 855-255-5325 • FAX: 520.990.8965 Operations@LeakDetect.net • www.LeakDetect.net Signed Non-Disturbance Post ELD Contractor Statement Reference: Leak Detection Technologies, Reference Number Site Name Loves Travel Stop and County Store Site Address 1553 Colony Rd. City Ripon, Ca California Zip 95366 Contractor: California License # 673853 Company Name western Pump Address 3235 F St . City San Diego State Ca Zip 92102 Per the office of the State Water Resource Control Board, we are required to provide a signed agreement (below), which states that there is to be no further ground penetrating work, including beautification requirements, atop or immediately adjacent to, the UST system are needed or will be performed after Final ELD testing is performed. Therefore, all construction and landscaping above and adjacent to the UST system must be completed before our arrival to perform the ELD final test. Leak Detection technologies also requires all ballast to be removed from tanks containing a liquid filled interstice 72 hours prior to our technician arrival onsite to perform the final ELD test. Furthermore, no fluid can be added or removed from the tank primary 72-hour before testing. Containment Solution (CSI) wet interstice tanks must have brine added to the interstice to 4 inches above the interstitial reservoir or 4 inches above the bottom of the riser pipe attached to the top of the reservoir. Please complete this effort within 72 hours or greater of our arrival. Do not fill the riser pipe above the 4-inch level indicated herein. LDT has completed this form on behalf of the above, once this form is signed, dated, and returned to our office, we will notify the appropriate department at the State Water Resource on your behalf. Once this form has been completed and delivered to the state, the final ELD test dates can be confirmed. Please sign, print name and date below. Statement: No further ground penetrating work, including beautification requirements, atop or immediately adjacent to, the UST system are needed or will be performed after the Final ELD testing is performed at the above-referenced location. Greg McLucas o G ' Contractor: oa,e,o= ,o„ 5-0800 Date: 11 . 10 . 2022 Signature Print Name: Greg McLucas Author David Rabb 10f 1