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Appendix Vlll <br /> Underground Storage Tank <br /> Sail! Container Testing Report Form <br /> TYPE OF ACTION ® Installation ā‘ Repair ā‘ 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10181461 07/03/2023 <br /> Facility Name <br /> Vanco Truck Auto Plaza <br /> Facility Address City County Zip Code <br /> 1033 W. Charter Way Stockton San Joaquin T95206 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> Elite IV Contractors (209 461-6337 <br /> Mailing Address <br /> 2535 Wigwam Dr Stockton CA <br /> Contractor/Tank Tester License <br /> Number 1001331 <br /> Service Technician Performing Test <br /> Michal Kennard <br /> ICC Number ICC Expiration Date <br /> 5254811 07/06/2023 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer& Test Equipment Training Certifications Expiration Date <br /> Franklin Fueling System Phase##1 1010713708 07/12/2023 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components) Tested <br /> Hydrostatic 91 Spill Container <br /> 5. CERTIFICATION BY THE SERVICE TECHNICIAN CONDUCTING THE TEST <br /> I hereby certif r that each spill container was tested in accordance with Calrfomia Code of <br /> Regulations, We 23, division 3, chapter 16, section 2637.1,that required supporting documentation <br /> Is attached,-and all/nfunnation contained herein is accurate. /understand that test procedwas shall <br /> be made available upon request by the governing auMoW. <br /> Service Technician Signature Date Total #of Pages <br /> -Lā€”. ' - 07/03/2023 2 <br /> CERS= California Environmental Reporting System, GPH= Gallons Per Hour, ID= Identification, ICC= <br /> International Code Council <br />