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NOV-19-2010 01 :25 PM GETTLER-RYAN INC. 925 551 4770 P. 06 <br /> S W R('B.January 2006 <br /> Spill Bucket Testing Report Form <br /> f'hi.v loyal Is intended fur•um. hr contra(inrx penin winq annual testing of I'S 1'spill cnnrrtinmruf.etrueturaf. The coe 1p/eN-1 h)rnr;Ind <br /> prinhrxta from testi(if upphcnbfe)..fhonhi be pnwided rt,the faotlits rmfit i-o1wrdtor,tar xuhniWal to the Incal regurfaary agent <br /> 1, FACILITY INFORMATION ��_ <br /> --�.5 .2010 <br /> Faed4it Name:PG&E .. . IJatc of f evting,1109..__......,__.___.—.. <br /> Facility Address:4040 West Lane Stockton,CA 945 <br /> Facility Contact:Site Attendant --� _ - 11hunc:209-3370902 <br /> /gate Local Agency Was Notified of'resting:10/0612010_�___---.-__-._--.-_-,-�-__���_._•, <br /> Namc of Local Agency Inspector(ll pr'cavnr r/rn•u;g textirng): ....._ � <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name:Oanler-Ryan toe <br /> rechnlcian Conducting I ei close.Carrasco <br /> Crealonrialst: ('SLB Contractor X ICC Scrcice Tcch. SW RCI Tank Tester -_ Other ISpeclfi'1�. � •• <br /> I.iccnse Numher(s 1:220793 <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: x- _ �drtwatic Vacuum Other <br /> T est F quipmeni Usal:Tapa Measure Equipment Resolution:ilia" <br /> Identify Spill Bucket(Br'fa0k1 Unleaded ZDiesel 'Waste OII 4 <br /> .Vnmhea. S/ored Product.ere./ <br /> Bucker installation'rype: x Direct Bury XDirect Bury XI)irecr Hury Direct Bury <br /> Conuiined in Sum C'ontaincd in Sun1p Contained in Sump C'on;aincd in Sum <br /> liucl,Lt Diameter: 12" 12" 12" <br /> Bucket Depth: -- 14" — _ 13" - 141. -- <br /> Watt time between applying — _15 min 15 min _15 min <br /> ea4uumrwater and start ol'ie+C --_ �- -_ <br /> Test Stan Time(T 1); _ 9;13 am 9._14 am_ _ 9:15 am <br /> Inltial Reading(R1): l - 121/2" - 12.. _12" <br /> 'rest Endtime(1'f): _ 10:13 am _ 10:14 am 10:15 a'm ,Y <br /> Final Reading(Ri,1: 121/2_ 12�'------ <br /> 're,1 Duration(Tf - TI): 60 min 60 min 60 min <br /> .,....11.-11-.-----'---..._....._.... . . ....--- .. ...____.—... ....._._...__.._..-._._..._......^.. -- "'^---- _. <br /> Change in Reading(Rr- Rt): 0 _ --- <br /> -Fuss Fail Threshold or O O Q <br /> Criteria: <br /> Test Result: --- - - P9 Paaa ❑Fail ff Pass rl Fall a Paae ❑Fall d Paas O Midi <br /> CommeUt8-(include informnriun nn,xquiirs maul(prior to tectinJ;,nor!rer„mnrrnth•,f jrllnn=np lir`L6ad-Ird <br /> - <br /> CF,RTII+I(:A'IION OF TECHNICIAN RFSPONSIBLF FOR UONDCC”I'ING THIS TESTING <br /> I hereby certify that all the Information contained in this report is true,accurate,and in Jall crrmpliance with leg al requirenentf. <br /> bgnFy uywa lry b"..d,......... <br /> �rdc/alts and fcgulati�•n�do nut eurrctnly n'yuaY testing la Fe performed he a g0aliliod cumnutur I Iowe.er. locai regairemewi <br /> II:aY ha more stringent <br />