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q. <br />Secondary Containment Testing Forms <br />i <br />Site Test Log Form <br />Testing Contractor: Able Maintenance <br />UST Service Technician I.C.C.# 5254517 -UT <br />Containment Sumps <br />Site #: Safeway #2600 (3yr. Compliance Test) <br />Address: 1804 W. 11th Street <br />City: Tracy, CA 95376 <br />Technician: James Moore Date: 1/11/06 <br />Tank (Grade) <br />Description (Manufacturer, Specs) <br />Condition (Repair Notes) <br />1. 87 -FILL <br />2. 89 -FILL <br />3. 91 -FILL <br />WESTERN FIBERGLASS <br />Test Time (HH:MM) <br />Start / Finish <br />Test Results <br />Pass / Fail <br />Test Notes <br />1. 11:51 - 12:03PM <br />PASS <br />Start Level: 10.36415 <br />End Level: 10.36441 <br />2. 8:48 - 9:OOAM <br />PASS <br />Start Level: 11.61919 <br />End Level: 11.61919 <br />3. 8:47 - 8:59AM <br />PASS <br />Start Level: 11.17344 <br />I <br />End Level: 11.17371 <br />Tank (Grade) <br />Description (Manufacturer, Specs) <br />Condition (Repair Notes) <br />1. 87 - STP <br />2. 89 - STP <br />3. 91 - STP <br />WESTERN FIBERGLASS <br />Test Time (HH:MM) <br />Start / Finish <br />Test Results <br />Pass / Fail <br />Test Notes <br />1. 11:51 - 12:03PM <br />PASS <br />Start Level: 10.65880 <br />End Level: 10.65868 <br />2. 8:48 - 9:OOAM <br />PASS <br />Start Level: 9.77510 <br />End Level: 9.77528 <br />3. 8:47 - 8:59AM <br />PASS <br />+ <br />jStart Level: 11.28604 <br />I <br />End Level: 11.28615 <br />Page 1 of 1 1804 W. 11 th St - 301620 - 3yr..xls Containment Sumps <br />