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Data Cort for Tank System Tight+ss Test <br /> FOAM Fagear PETRO-MCK INC. <br /> I, DNIR►egarW GERMAN CAR REPAIR 461 SOUTH POWERS AVENUE, MANTECA, CA 95336 <br /> Nems Address A�Orafa ".. TaNpnena <br /> T"MQ D KARL SCHEINUCK 209-823-3853 <br /> Harris Address lt"nikentinne TMpMM <br /> 2 OPERATOR SAME <br /> Name AM. Takes <br /> I REAM MR REGULATION GOVERNING UNDERGROUND STORAGE OF HAZARDOUS SUBSTANCES <br /> TEST SUBCHAPTER 16 OF CHAPTER 3 of Title 23 of The California Administrative Code <br /> (Edelen F4*) <br /> 4 WHO REGUMED OWNER <br /> TEST AND WHEN Name Title Company or ANJiation Data <br /> Address Te . <br /> 5 WNOISKPAYM OWNER <br /> FO TM TEST? Cmmpany,Agency or Induloya: Pcnon AwhorOing Idle Times <br /> Bitting Address City State zio <br /> AlMntion of: Oran,No. Other Imin.o.ne <br /> Idwltlry by Direction Capacity Brand/Suppler Glade AMoa.Age Steel/FiMghwe <br /> L TAW(S) WYOLYED 500 WASTE OIL <br /> Location Covers Fills Vents Siphotwa Pump <br /> 7. OWAUATM <br /> DATA <br /> North imide driveway. Concrete.Black Top. Size,Tim ip make.Drop Spchoe.Aeiiiis <br /> Ran of ration.etc. Earth,Cc. tures.Aemote Fills Size.Manibeed Which ranks! Mab A anwn <br /> p Is the water OVM The tank? <br /> WATER Depth to the water table below tank El yes 0 NO <br /> as Tanks to be filled hr. Date Ananged by <br /> TRI-upNsme TMghea <br /> n <br /> AMANGEMTS Ease product W"top olf'and run TSTT. How and who to provide? Consider NO Lead. <br /> Terminal or other contact <br /> for notice or inquiry <br /> �p �a{�p�r�{�� Company Name TMephpiq <br /> L{L aWa�a�[[r��eyTR�AC��I��VaI, <br /> 1 kDvjwW. <br /> any other contractor <br /> ra <br /> rp�yOaw4odd <br /> 11. OTNER — — <br /> OR <br /> -.— --_---- <br /> Additional information on any items above.Officials or others to he advised when testing is in progress or completed.Visitors or oeswvws present <br /> oaring test etc. <br /> Taste were made on the above tank systems in accordance with test procedures prownbed for E Z y—Cil e k S y S t e m <br /> 12. TEST RESULTS as detailed on attached test charts with results as follows: <br /> Tank Idenrlimion Tight Leakage Indicated Date Tested <br /> WASTE OIL TIGHT +.004 05-10-89 <br /> i <br /> This is to candy that these tank Systems wen tested on the dai shown.Those indicated as"Tight"mast dte CrhwN globNd ad by <br /> 11 CERTMATKW the padorad Fire Protection Asociation pamphlet 329. <br /> 05-10-89 Rodney Mallow PETRO-CHECK, INC. UWV✓n Pr <br /> Orb tactor or Company. Bv: Sgreture <br /> EZY_CHEK 2076 ACOMA � P, SACRAMENTO. CA 95815 <br /> Sere No a1 Triennia; Techn.uans Address <br />