Laserfiche WebLink
Appendix VIII <br /> Underground Storage Tank SA-56472 <br /> Spill Container Testing Report Form <br /> TYPE OF ACTION ❑ Installation ❑ Repair 0 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Test Date <br /> 10181267 2025-07-01 <br /> Facility Name <br /> CA Army National Guard Stockton AASF <br /> Facility Address City ZIP Code <br /> 2000 Stimson Rd Stockton 95206 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Test Phone <br /> SunWest Engineering Constructors, Inc (888) 588-8737 <br /> Mailing Address <br /> 4780 Cheyenne Way, Chino CA 91710 <br /> Service Technician Performing Test <br /> William Wright <br /> Contractor/Tank Tester License Number <br /> 703190 <br /> ICC Number ICC Expiration Date <br /> 10233162 2026-12-02 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> OPW - EVR UST /AST 2027-02-17 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components Tested <br /> PEI/RP 1200 T1 Diesel Spill Bucket <br /> 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING <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. I understand <br /> that test procedures shall be made available upon request by the governing authority. <br /> Service Technician Signature Date Total # of Pages <br /> it �. 2025-07-01 2 <br /> 6. SPILL CONTAINER DETAILS <br /> CERS = California Environmental Reporting System, ID = Identification, ICC = International Code <br /> Council <br /> Page 2 of 16 <br />