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• <br />Alltech Petro Inc, <br />I'.0, Bos 4208, Sonora, CA 95370 <br />Phone: 209-532-7320; Fax: 209-533-2650 <br />California Contractor 623541 A-Haz <br />ICC Technician: 8005930 -UT <br />SWRCB Tank Tester: 09_1749 <br />alltechmai me.com <br />S ill Bucket Testis Re Ort Form <br />FACILITY INFORMATION: <br />SPILL BUCKET TESTING INFORMATION: <br />Test Method Used: <br />® Hydrostatic <br />Test Equipment Used: I -flour Observed Test <br />Identify Spill Bucket <br />Bucket Installation Type: <br />Wait time between applying <br />vacuum/water and start of test: <br />Test Start Time (Tr): <br />Initial Reading (Rr): <br />Test End Time (TF): <br />Final Reading (RF): <br />Test Duration (TF — Tr): <br />Change in Reading (RF - Rr): <br />Pas iii Threshold or <br />Criteria: <br />Test Result: <br />Comments — (include i form <br />1 Reg 87A <br />Direct Bury <br />® In Sump <br />None <br />10:30 <br />3.00" above cap <br />10:30 <br />3.00" above cap <br />------------- <br />I Hour <br />None <br />1/16" <br />Pass ❑ Fail <br />on repairs made <br />LJ Vacuum LJ Other <br />Equipment Resolution: 1!16" <br />2 Reg 87 B 3 Premium <br />a <br />Direct Bury Direct Bury <br />In Sum Direct Bury <br />In Surn ❑ In Sum <br />None None <br />8:30 <br />2.50" above cap <br />8:30 <br />2.50" above cap <br />I Hour <br />None <br />1/16" <br />8:30 <br />2.00" above cap <br />8:30 <br />2.00" above cap <br />I Hour <br />None <br />1/16" <br />�9 Pass ❑ Fall Pass ❑ Fail <br />LJ Pass [I Fail <br />to testing, Inc/ recommended follow -un f., <br />CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />I hereby certify that all the information contained in this report is true, accurate, and in full compliance with legal requirements. <br />Technician's Signature: <br />Date: 8/19/10 <br />