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Appendix Vfil <br /> Underground Storage Tank <br /> Spill Container Testing Report <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 96206 <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 /> C N 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 /> 1 hereby aen yThat each spill container was tested in accordance with Calilhmia Code of <br /> Regulations, tide 23, division 3, chapter 16, sw on 26371;Mat required supporting documentation <br /> Is attached and all information contained herein is accurate, l understand that test procedures shall <br /> be made available upon request by the govemmg auGhorW.. <br /> Service Technician Signature J Date Total # of Pages <br /> 44�ft A64--- 11/07/2025 2 <br /> CERS= California Environmental Reporting System, GF'N= Galions Per Hour, ID= Identification, ICC= <br /> International Code Council <br />