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Appendix VIII <br /> Underground Storage Tank <br /> Spill Container Testing Report Form <br /> TYPE OF ACTION ❑Installation ❑Repair x12 Month <br /> 1. FACILITY INFORMATION 7-71 <br /> CERS ID Test Date <br /> 10182243 03/26/2025 <br /> Facility Name <br /> Main Street ARCO AM PM <br /> Facility Address City ZIP Code <br /> 1100 S Main St Manteca 96337 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performin the Test Phone <br /> Diamond Petroleu Services, Inc. (926) 470-0803 <br /> Mailing Address <br /> 3619 King Ct Antioch, CA 94509 <br /> Service Technician Performing Test <br /> Guadalupe Sanchez <br /> Contractor/Tank Tester License Number <br /> 1005444 <br /> ICC Number ICC Expiration Date <br /> 5250461 03/22/2027 <br /> 3. TRAINING AND ERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> OPW PHASE 1 EVF UST# 0163755 06/06/2025 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components Tested <br /> PE112001Hydrost Test 87,91 and Diesel Fill Spill Buckets <br /> 5. CERTIFICATIOh BY SERVICE TECHNICIAN CONDUCTING TEST <br /> l hereby certify tha each spill container was tested in accordance with California Cade of <br /> Regulations, title 2 3, division 3, chapter 16, section 2637.7;that required supporting documentation is <br /> attached;and all ir formation contained herein is accurated understand that test procedures shall be <br /> made available up n request by the governing authority. <br /> Service Technician ignature Date Total #of Pages <br /> r r= rT 03/26/2026 2 <br /> 6. SPILL CONTAIN ER DETAILS <br /> Test Method Develo ed by ❑ Manufacturer x Industry Standard ❑ Professional Engineer <br /> CERS = California Environmental Reporting System, I❑ = Identification, ICC = International Code <br /> Council <br /> Page 1 of 2 <br />