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Appendix Vill <br /> Underground Storage Tank <br /> Spill Container Testing c , , - �J <br /> TYPE OF ACTION ❑ Installation ® Repair ® 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10181291 11/07/2025 <br /> Facility Name <br /> Bank of Stockton Hanger <br /> Facility Address City County Zip Code <br /> 1941 E. Lockhead Ct. Stockton San Joaquin 95206 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> Elite IV Contractors 209 461-6337 <br /> Mailing Address <br /> 2535 Wigwam Dr Stockton CA <br /> Contractor/Tank Tester License <br /> Number 1001331 <br /> Service Technician Performing Test <br /> Benjamin Malaspina <br /> ICC Number ICC Expiration Date <br /> 9519380 06/04/2026 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer& Test Equipment Training Certifications Expiration Date <br /> CN 15392 11/04/2027 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Component(s) Tested <br /> Hydrostatic Bucket, Drain. <br /> 5. CERTIFICATION BY THE SERVICE TECHNICIAN CONDUCTING THE TEST <br /> I hereby eerdfy ilia each spill container was tested in accordance with Calihirnia Code of <br /> Regulations, We 23, division 3, chapter 16, saabn 2637.1;that required supporting documentation <br /> Is attached,•and all information contained herein Is accurate. I understand that Gestprocedums shall <br /> be made available upon request by the govemmg authority. <br /> Service Technician Signature / Date Total # of Pages <br /> 1 11/07/2025 2 <br /> CERS= California Environmental Deporting System, GPFi-= Gallons Per Hour, ID= Identification, ICC= <br /> International Code Council <br />