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o% LEAK DETECTION <br /> T E C h N 0 L 0 G I h � <br /> Exclusive Providers for MDleaV, MCleaV and PHDleak®Technologies <br /> 2765 East Wieding Road ❑ Tucson,AZ 85706 ❑ Phone 855-255-5325 ❑ FAX: 520.990.8965 <br /> Operations@LeakDetect.net ❑ www.LeakDetect.net <br /> Signed Non-Disturbance Post ELD Contractor Statement <br /> Reference: <br /> Site Name Mountain House Parkway <br /> Site Address 18047 W. Grant Line Road <br /> City Tracy California Zip 95391 <br /> Contractor: <br /> California License# 1035505 <br /> Company Name Petroleum Builders Inc. <br /> Address PO Box 3820 <br /> City Turlock State CA Zip 95381 <br /> Per the office of the State Water Resource Control Board,we are required to provide a signed agreement <br /> (below), which states that there is to be no further ground penetrating work, including beautification <br /> requirements, atop or immediately adjacent to,the UST system are needed or will be performed after Final ELD <br /> testing is performed. Therefore, all construction and landscaping above bove and adjacent to the UST system must be <br /> completed before our arrival to perform the ELD final test. <br /> Leak Detection technologies also requires all ballast to be removed from tanks containing a liquid filled <br /> interstice 72 hours prior to our technician arrival onsite to perform the final ELD test. Furthermore,no fluid can <br /> be added or removed from the tank primary 72-hour before testing. <br /> All wet interstice tanks must have brine added to the interstice to 4 inches above the interstitial reservoir or 4 <br /> inches above the bottom of the riser pipe attached to the top of the reservoir. Please complete this effort within <br /> 72 hours or greater of our arrival. Do not fill the riser pipe above the 4-inch level indicated herein. <br /> LDT has completed this form on behalf of the above, once this form is signed, dated, and returned to our office, <br /> we will notify the appropriate department at the State Water Resource on your behalf. Once this form has been <br /> completed and delivered to the state,the final ELD test dates can be confirmed. <br />