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CBRE Work Order# - Appendix Vlll <br /> Underground Storage Tank <br /> Spill Container Testing Report Form <br /> TYPE OF ACTION ā¯‘Installation FRepair Fvl]12 Month <br /> 1. FACILITY INFORMATION <br /> C E RS ID 10156057 Test Date <br /> 5/30/2025 <br /> Facility Name CASTO <br /> Facility Address 1532 N BROADWAY City STOCKTON ZIP Code <br /> 95205 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Test R.L Stevens Co Phone <br /> 510-435-6249 <br /> Mailing Address P.O Box 361 San Leandro, Ca. 94577 <br /> Service Technician Performing Test RL Stevens Company <br /> Contractor/Tank Tester License Number 415807 <br /> iCC Number 5240739 ICC Expiration Date <br /> ` 7/18/2026 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> CPW I811312,02E <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components Tested <br /> HydrostaticlPE1 1200 Spill Buckets <br /> S. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST <br /> I 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. 1 understand <br /> that test procedures shall be made available upon request by the governing authority. <br /> Service Technician Signature Date Total #of Pages <br /> :. - siai2a2s 2 <br /> CERS = California Environmental Reporting System, 1D = Identification, [CC = International Code <br /> Council <br /> Page 1 of 2 <br />