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SWRCB, January 2002 Su Page l _ of <br />Secondary,Containinent Testing Report Fonn <br />iiais form is intended for use by cortracfnrs perforrningperiodic tesf�ng of US?secondary contc�nm¢nt systems. Use the <br />appropriate pages cfthiaform to report resultsfor all components testedne completedform, written'testprocedrres, a?sd <br />priniouts�rom tests ( 'applicable), should be provided to the facility owner/operator for submittal to the local regulatory agency. <br />1. F'AC'TI.TTV INW IPMATIniv <br />F acihty N ame : BP Nest Coast Products, LLC Date of T e sang: <br />Facility Address: 130 S WILSON WAY City: STOCKTON Zip: 95205 <br />Facility Contact: � <br />Phone:XJ <br />Date Local Agency Was Notified of Testing: <br />Name of Lacal Agency Inspector ffpresent durirrgtest2ngj; �u,�, <, <br />Z TESTIN(: (-ONTRACTnP INIVnDWtTA-rinAr <br />Company Name: TAIT ENVIRONMENTAL SYSTEMS <br />n <br />Technician C oductin�SLE tnJt„ra�ct <br />Credentialsio�r <br />❑SWRCBLicensed TarikTester <br />License Type: A ASB HAZE C p <br />License Number: 588098 <br />Nianufact er <br />L4ianafacturer TrAx I <br />Corn onen s` Date Training Expires f <br />3. <br />rr. . <br />• <br />�© <br />MIN <br />mi <br />��� <br />■ <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />To the besi of my knowledge, tree f stated in this document are accurate area in full complianca with legal requirements <br />Tec2-+nicia::'5 Signaiur� �- _ Date t 1. "r <br />