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F..W-Tank Gauging/911(Equipment: OX) Chttk this box lFgnik gauging is asd only forim tnmry conhrL SWRCO,fanuery 2006 <br /> l ) Checkthlsboxifnoankphgingtr9lRequipmentisinmllcd Spill Bucket Testing Report Form <br /> 7als jurm h mrmhdedJw use by eo,w'enorsperfarminx annual ratans uJeiT/'spllf carminmw.rrnrcmr.r.The complaed�rm nod <br /> 'rM1is section most be completed)fin-tank gauging equipment is used to perfoan leek d<Lection monitoring. printauarpw, lann lU'•pntkehlN•showfdbe prwk.dmrhelad)by awnuJayaarorlar xubmhwl wth.fncolranufofnry.y.,,.y. <br /> Complete thefs0oning eheck0m: NSA 1. FACILITYINI+ORMATION <br /> _ Futility Name: Syrteme Tramport Oate OrTasGn M 17.2010 <br /> ()Yes 10Ne 14MAII lnputwningbecn Impemed forprmu wiry road Rrmlemlou,including Mating forgreaud bm0s? Pemnry Adamrs; 707 E.Rath Road,Preach Cam ,CA 9=1 <br /> OYet qNo• Wwall mnkgm,gins pm0ee visually Wapecmd far Course wW rwtdue buiWupT 1•edllty Conmee SmvnTuektt -_- phare: 209&03.1454 <br /> (Wee I c7 Now I Was uceumey at system product level readlogl Worst? me LucilA ryWmNaOfmd tfTaueg: May 17.MITI <br /> ()Yet No• Was accumry of system waser level maimp v Wd7 ante-ofLeast Agency nnpeelor(Mvwa dwvig hembgk: 'rhvy Tron <br /> ()Vet Otho• Wmdllaalaarclmtol0dmaperly7 _—`mo' <br /> ()Yoe 0 N were all@ems an the equ�mem manuhtmrer•smalntenanm their drtranpl.md? 2. T99TING CONTRACTORINFORMATION <br /> •le she S".n N•below.dmeriM lenvad when thus deficicvcies were or wi0 he eometmrL I Company Name: STOCKTON SERVICE STATION TMFMBNT CO.INC <br /> Technician Cw,dmaing Tee: Eric MoiBmrd <br /> G. Line Leak Detractors(LLD): (7) Check this box if LLD,arc not Installed. (x)lecsmyke Teck nSWRCBTank Taste UOMm(gpao) <br /> )Limnsa Number(s): ^ ICC 01-W UT <br /> Cnm isle the foOowW ahxdd6k - ' <br /> m Yes ❑ No* Far milipment Gertup or annual equipment cenifiatiory was a leak simulated to verify LID pnrformance7 3. SPELL BUCKET TESTING DWORDIATION <br /> U N/A (L'heck af/rhm Pp1Yl Shnalated leak rete: 1Kl3 g.ph.;O 0.1 gp.h;O O2 g.pb. s Tan Memos clad: (x)RydsveaNe ❑Vacuum ❑Otlw <br /> m Yoe ❑ No- Warned)LLW amiumd operational mod vmm <br /> , mwithin regulatory regohemmldl ... <br /> 9qui mrntUu-0:Tape Bqulpmm�t Revolution!l/321n <br /> MY. O Na' WathemNngappowimprtprtlycalibmted? Identify Spill Be"(By Tank 1 2 3 4 <br /> mYen ONo* Fameelumiral l.ID,. om the LLD resrrletprodoct Raw lf)t deletes lank? Numbs StosiNad a&-,J DIESEL TANK <br /> N/A Bound lmietatem Type! xlNmd Bury Orirm:Bmy aDInom Bury CDhocr Bury <br /> 13 Yoe (3 No* For eluumhk LLDa,duesthe turbine eutomalmlly bmi aRlftoe LLD dments a lank? IlConmkdio Sam I'ICnhhaimed in Sum UConmhmd In Sump rl enamored In Sum <br /> mWA Bucket Dlameter; IX INCH <br /> U Vee ❑No* Fa ekoaank LLDs.does thei turbine eurommkaty shut offifeely portion oar the ma rsoringsystem k dlvabled a Depth: 11 INCH <br /> X NIA ordkcommated? well time between applying 5MIN. <br /> O Yes O Nu* Fa elsWvoic LL$don gar hurNne automelrallY shut OfrWOy mmlml Of am lOonitaNng system malfunctions, vowumlwhxersndsmrt oPWn <br /> ®WA mfttlaams0 Tart Shea Time(V 9:5tl e.w <br /> U Yes Ll No- Far daoomkLLDa,haveall ecceviblewiringwnnemiombem visually hwpectmh Initial Rmdingos): It INCH <br /> Ki WA 'root Fid Tim.(Tr: Hims.m. <br /> mYm TON.* Wemell hems on den equipmrntmenufrcmter.ndmanmea eheeklkl completed? R <br /> •in the Sntfsa IT,below,0ename hoar and whoa ur)u thus defebware or will h.eormeted Fina Sending( y): iI INCH <br /> Test Damdvx(T,-TJ: 1 HOUR _ <br /> Fl. cnmmma: ._ Chm,ge In Revdin3(Rs•RJ: PA <br /> - Pullnlmslwltl ar PASS <br /> _.— <br /> jA rfa: <br /> TeeOResWU DO Pov Opel) ❑P. CI NO O Puts 0Pa0 DPW uPoa <br /> _--__•.".---_. .— _^_... � Comnrmis-(oujois smS..�bnwrwpaas wvdeaAorw fMlaR mhdruommud dlrrllmwvelafaOMruu) ...,• <br /> �^ CRRTRRCATIGNO TECHNICIAN RLSPON1lBLR FOR COND77[:77NG THISTESTINC <br /> - - '— lhN4hya o hataUthe Worwadvamamined�Mfh/4J.ym/wl}[Me,m%IlrafC,tmA)nlaE renrpllartc'a with lege(remrRmswri <br /> Teohnioian's Slgnamm;2tic 9fDate: May17,2010 <br /> Pap3of4 allyl _..__. ._ <br /> 'Slee leas an regulations dv not curmnuy reqube coming m be peMormsd by a qualified contractor.Nowereg Irral regnireu,enm <br /> may b—oa.x tb,gent <br /> Fops d and <br /> 90/90 390.1 dWJ HQN39d ISGOZ86GBZ W000:00 I nZ/10/90 90/90 3 d ddtlD WN�?IA 1959Z9660Z VA+01+:00 11OZ/10/90 <br />