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Sacramento Equipment Maintenance Company Inc <br /> 2533 Connie Drive Cald.Contr. License#502377 <br /> Sacramento, CA 95815 Wo# 60165 <br /> PLEAS 9RINT 6 Data Chart for Tank System Tightness Test Slatbn# <br /> PLEASE PRINT <br /> 1. OWNER Properly❑ Mc Kesson 4110 Industrial Trac s Ca . �jI�{p�p <br /> Tanka)❑ Name AEares, Tom 'Fernandez 372—ZMM <br /> mama Adds Repraeents" TelepMw <br /> 2. OPERATOR Mc Kesson 4110 Tndustrial Tracy ^www <br /> Name sea. <br /> 3. REASON FOR County <br /> TEST <br /> (Eapldn Fully) <br /> 4. WHOREOUESTED Bla da & Bouck Enciineerina <br /> TEST AND WHEN Nana Jim Saxton ( 315 )4`6-9120 CpmpuryorAnllta[en Det. <br /> Add,— Tmapfmrr <br /> Icenhly by Dneden Cap.Gty anndltwPplU, oral. Approa.Ape SaWM"W,ptan <br /> 5. TANK INVOLVED A <br /> Lbs additional fines <br /> for msnilolded tanks <br /> Location Co., Fob vents siprorae F✓ros <br /> 6. INSTALLATION <br /> DATA <br /> North InNd.eMere , ncrwe,a a Top. Oce,mUflp make.Drop Sodic^.(Wrote, <br /> Rear of when.NC MC. loess.wmple Ftb 9aa,WnIbNUd Winch tan41 make a bwrn <br /> 7. UNDERGROUND as lha rtler owr the Wk? <br /> WATER apthtoMe,know seek, �n `'� Dy" Pies, <br /> B. FILL-UP Tants bbhead hr. ode AmN`9adM <br /> Nrrb T.I.pyerb <br /> ARRANGEMENTS Erin p odod b by CM ane un Wk brie. Nov u d e ho b pmMM7 Gamer No lead. <br /> Twminal a oow Contact <br /> for Mo.or kauhy Nwne T.koh orae <br /> Compby <br /> 9. CONTRACTOR, <br /> MECHANICS, <br /> any ahw contractor <br /> k eaFad <br /> 10. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> Additional k+brmtlbn on any emit aeoee.0MP1Ye Or 01-1 b W advWd~M11op as M Pr09'a oomylwad.Nehon a observe"'pe—t d"na baL ata. <br /> Tests were made on the above tank systems In accorderbe with test procedures prescribed for <br /> 11. TEST RESULTS as detailed on attached test charts with results as follows: <br /> Tank Identification mow Leakage canted Del.Trod <br /> 1 lea c.- t firTS <br /> 12. SENSOR 13.This is to Marbly that these tank systems were tested on the dete)s)shown.Those indicated as"Tight"meet the criteria established by <br /> CERTIFICATION the National Fire Protection Association Pamphlet 329. <br /> Te//W////a�cty�ct�p1waanrr�aa�aJ)))) t is the responsibility of to wmer and for operator of this system to Immediately adobe state and Mai authorities of cry <br /> i ymied hazard and un msInclity of any reponaSA pollution lo the environment I aresultENM of the indicated failure d e the <br /> Oats /� -./ s em.Wath Consultants lnmmaeted ale/orSACMMEffrO EQUIPMENT MAINiENMICE COMPANy.INC.does <br /> assume any responsibility or hstility for any loss of product b me environment. <br /> Sena No of Thermal cemtication. ,y�• `7'4 -1 (� <br /> a. <br /> Y I <br /> brtflcesionF Tank owns,lopermor �` Data r <br />