Laserfiche WebLink
Appendix 7 <br />Underground Storage Tank <br />Overfill Prevention Equipment Testing Report Form <br />TESTING TYPE ❑ Installation ❑ Repair D 36 Month <br />1. FACILITY INFORMATION <br />ERS ID <br />14180733 <br />Test Date <br />6110/2026 <br />Facility Name <br />Arco 7'147 <br />Facility Address -- - pity ZIP Code <br />1206 E. March Lana Stockton 95210 <br />. SERVICE TECHNICIAN INFORMATION <br />Company Performing Testing <br />Nwestco LLC dba Gettler-Ryan <br />Prone <br />925-551-7555 <br />Mailing Address <br />805 Sierra Court, Suite O, Dublin, CA 94568 <br />Service Technician Performing Testing <br />Gabriel Solorio <br />Contractor License Number <br />1073967 <br />IDD Certification <br />10425282 <br />ICC Expiration Date <br />911 412026 <br />. TRAINING AND CERTIFICATIONS <br />Manufacturer and Test Eq u ip men Trainin Certifications <br />Training Expiration pate <br />OPV! UST E R Phase 1 Tech Cert (#1193597 <br />6/912027 <br />4. TEST PROCEDURE INFORMATION <br />Test Procedures Used <br />Com oner:ts Tested <br />Flapper Valves <br />Tank Chart/Tape Measure <br />5. CERTIFICATION BY SERVICE <br />TECHNICIAN CQI`+ E)UCTINO TEST <br />J hereby certify that the OPE was tested in accordance with California Code of Regulations, <br />title 23, division 3, chapter 16, section 665; that required supporting documentation, <br />including calibration charts, is aftach ed, and all informa#ion contained herein is accurate. 1 <br />understand that test procedures must be made available upon request by the governing <br />authority. <br />ervice Technician Signature <br />�= _ 16/10/2026 <br />I <br />Date Total # of Pages <br />E RS = California Environmen # Reporting System, ICC = International Code Council, <br />1D = Identification, 0 P E = Overfil1 P-rVVention Equipment <br />Page 1 of <br />