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Appendix VIII <br />Underground Storage Tank <br />Spill Container Testing Report Form <br />TYPE OF ACTION Ll Installation -LI, Repair �6 12 Month <br />1. FACILITY INFORMATION <br />CERS ID Test Date <br />CERS 10689070 06/30/2025 <br />Facility name <br />Fed Ex Ground <br />Facility Address <br />5655 Hood Way <br />City <br />Tracy <br />ZIP Code <br />95377 <br />2. SERVICE TECHNICIAN INFORMATION <br />Company Performing the Test <br />Tanknology, Inc. <br />Phone <br />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 />ICG Number IGC Expiration Date <br />8361393 05/12/2027 <br />3. TRAINING AND CERTIFICATIONS <br />Manufacturer and Test Equipment Training Certifications <br />Expiration Date <br />OPW:EVR Phase 1 <br />01/07/2027 <br />4. TEST PROCEDURE INFORMATION <br />Test Procedures Used <br />Components Tested <br />Spill buckets <br />Vacuum test <br />5. CERTIFICATION BY SERVICE <br />TECHNICIAN CONDUCTING TEST <br />1 hereby certify that each spill container was rested in accordance with California Code of <br />Regulations, title 23, division 3, chapter 18, section 2637.1; that required supporting <br />documentation is attached; and all information contained herein is accurate. l understand <br />that rest procedures shall be made available upon request by the governing authority. <br />Service Technician Signature <br />,,w ,1w— <br />Date <br />06/30/2025 <br />Total # of Pages <br />2 <br />CERS = California Environmental Reporting System, ID = Identification; ICC = International Code <br />Council <br />Page 1 of 2 <br />