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SWRCB,Jimmy 2002 Pw 1 of S <br /> Secondary Containment Testing Report Form <br /> Fftfimisbox&dfir&wbywatac*mpo*m*Wpa*k*cmftafUSTswmdaryeawahmmmspmw.use fife app.gp lade <br /> pqw,afthkfam to Yq f Hearths for all omwvm &haW M o=wkWfbPn arbor hwpweAww,amd <br /> appiicabk),shoald be prUVi{dedfo tie f vUlty ownerlopaoatbr f 6rsubmWd so dre Ibcd rgpda hvy qp y. <br /> 1.FACQdTY INFORMATION <br /> Fwibhr PW&BeA U-1ohm Co.dba AT&T Ctdifarnia Servicc Dfge:10/2S12010 <br /> Eamiq. Address:345 N.SAN JOA UIN STOCKTON CA 95202 GEO PAR#UB042 <br /> folk Coact:Connie MLtrM F ' ' Phage:MSWS155 <br /> Dale Local Ampy Was Nadified of Tod , 10/18120]0 Test Tym 6 Moab <br /> Name of Local if :None <br /> L TFS MG CONTRACTOR INFORMATION <br /> Comomy Nam:Tait Eaviranmeatal Services <br /> Tadmieian Providm Test:Victor C,u <br /> Credentials Z SLB LioMa d Cam wkw ❑SWRCB Lmmsed Teck Tates ®ICC UST Service T*&wciem <br /> E.imm TyDcA B ASB C-10 HAZ Licaw Numbs:588098 <br /> Meanfar s Date T <br /> ICC UST Savice Tech. /18017001-UT 06/1612011 <br /> Franklin Fudwa IncoaTS-M #1621513762 04/1312011 <br /> 3.SUMMARY OF TEST RESULTS <br /> Cb=P=stt ftu1 Tefts Casegeennt 1'nw F.II MMk lrwt a > <br /> Aam*wUH042U001 0 0 ❑ 0 10 ❑ <br /> Supp1T amb"y[160420001 <br /> Rdom swou ny 010)420001 ❑ ❑ <br /> Vast Umid"UM2U001 ❑ ❑ ❑ L]rwfa�Soup uMM001 ❑ <br /> Phials&=p UW20001 ❑ 1:1 1:1 ❑ <br /> M Sump 060420001 CIO ❑ <br /> .2 -0- <br /> -Q-R n Ju E] 1:111 ❑ <br /> ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ <br /> 0 IC 0 HEI <br /> If was deswibe what was dame wd ft waw afsw Comubmim of tests: <br /> All teat water was takes back to Taits shop <br /> CFZMCATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING'l TISMM <br /> r'o dw ka ofivy ibsowies4 fie sfWW in Ob Asewnwo ore w mrwe asst iw ford OMPA Mae"M Aga ftva%u * <br /> 10 <br /> Toc>mician's Signature Dese 10V2512010 <br /> 1 <br />