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' <br />From: � 01/22009 17:05 <br />�}7M1C i AR 5 <br />itn <br />Secondary Containment & Overfill Containment <br />Testing Report Form 1..3 <br />1. FACILITY INFORMATION <br />Facility Name: Ryder 1071A j mate of 1/13/09 <br />Facility Address: 3633 Duck Creek Rd. Stockton, CA. 95215 <br />Facility Contact: John Luna Phone: <br />Date Local Agency Was Notified of Testing: 1/9/09 <br />Name of Local Agency Inspector (ij'present during testing): Ray Von Flue <br />2. TESTING CONTRACTOR INFORMATION <br />#348 P.002/011 <br />Page 1 <br />Company Name: Balch Petroleum Contractors & Builders, Inc. _m <br />Technician Conducting Test: Elmer Monera I <br />Credentials: X CSLB Licensed Contractor D SWRCB Licensed Tank Tester <br />License Type: A / B / C-10 / HAZ License Number: 396575 <br />Manufacturer Training <br />I <br />Manufacturer Component(s) Date Training Expires <br />Ronan Hydrostatic Precision Test Equipment NA <br />I <br />3. SUMMARY OF TF.,ST RESULTS <br />Component <br />Not <br />Pass Fail <br />Tested <br />Repairs <br />Matte <br />Not <br />Component Pass Fail <br />Tested <br />Repairs <br />Made <br />UDC Satellite 1 <br />X C ,; <br />0 <br />71 <br />New Oil Fill Bucket <br />X E. 01 <br />0 <br />G <br />Reserve Diesel Fill Bucket <br />X <br />-i0. <br />E lIi <br />u <br />Main Diesel Fill Bucket <br />X u <br />7 <br />G (i <br />L <br />Waste Oil Fill Bucket <br />X i_: <br />Transition Sump <br />X L_i <br />C L <br />C. <br />�] a =1 <br />t �J <br />L <br />L 2 7 <br />� C <br />i <br />10 L 0 <br />_J <br />0 G <br />0 <br />I- <br />11 <br />f <br />0 <br />'3 <br />Notes; <br />CERTIFICATION OF TECIINICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />To the best of my knowledge, the facts stated in this document are accurate and in full compliance with legal requirements <br />Technician's Signature: Date: <br />C:0ocunients and Settings\bill\Local SettingsiTemporary Internet Fi les\OLK [\Ryder partldoc <br />