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SB 989 Test Log Shell <br /> Testing Contractor: 4315 Waterloo Rd <br /> Stockton, CA 95205 <br /> N021069 _ testing <br /> Under Dispenser Containment <br /> Test Date: <br /> Sump Information: Di <br /> spenser Number: <br /> >� Y S /( eep Deep L <br /> Bravo (Steel, Shallow ` <br /> Pan): Sump Type; Shallow OpW pices (White, Straight Sides, Dee <br /> Bravo (Fiberglass, Deep Sump)' p) <br /> � Total Containment (Fiberglass <br /> Bravo (Plastic, Deep Sum ) <br /> p)'� <br /> Phil Tite (White Inside, Green Outside, Deep L): Western Fiberglass (Grey, Deep L): <br /> Other <br /> Monitoring Sensor Information: := <br /> Beaudreau (Sm Black Puck, Light Sensor): <br /> Bravo (Mechanical Float):C� <br /> Beaudreau (Modern Electronic): <br /> Veeder Root (Electronic): <br /> Other <br /> Test Start Time <br /> Test Finish H-Test <br /> HH:MM (12 Minute Duration Level Differential Pass/ Fail <br /> -y�.�'y Condition Repair Notes) <br /> cf)0 Pass) Fail <br /> Pass/ Fail <br /> Pass/ Fail <br /> Pass / Fail <br /> Pass / Fail <br /> CR QRQ T-+ <br />