Laserfiche WebLink
Appendix VIII <br /> Underground Storage Tank <br /> Spill Container Testing Report Farm <br /> TYPE OF ACTION D Installation Ll Repair R] 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Test Date <br /> 10411900 07/08/2025 <br /> Facility Name <br /> TESORO/SPEEDWAY#68221 <br /> Facility Address City ZIP Cade <br /> 2705 COUNTRY CLUB BLVD STOCKTON 95204 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Test lPhone <br /> Tanknology,Inc. 800-964-1250 <br /> Mailing Address <br /> 11000 N Mopac Expy#500 Austin,TX 78759 <br /> Service Technician Performing Test <br /> Jesus Saldivar <br /> Contractor/Tank Tester License Number <br /> 743160 <br /> ICC Number I ICC Expiration Data <br /> 8361393 05/12/2027 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Franklin Fueling:Phil-Tite EVR Ph 1 Systems 07/10/2026 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components Tester! <br /> Vacuum test Spill buckets <br /> 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST <br /> ! hereby certify that each spill container was tested in accordance with California Code of <br /> Regulations, title 23, division 3, chapter 16, section 2637.1; that required supporting <br /> documentation is attached; and all information contained herein is accurate. l understand <br /> that test procedures shall be made available upon request by the governing authority. <br /> Service Technician Signature [date Total# of Pages <br /> 07/08/2025 2 <br /> CERS = California Environmental Reporting System; ID = Identification, ICC = Intemationat Code <br /> Council <br /> Pagel of 2 <br />