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SB 989 Test Lo Shell <br /> g 4315 Waterloo Rd <br /> Testing Contractor: Stockton, CA 95205 <br /> N021069 — testing <br /> Under Dispenser Containment Test Date: <br /> Sump Information: Dispenser Number: sib- Sump Type: Shallow / D �ep /l Deep L <br /> Bravo (Steel, Shallow Pan):C� OPW Pices (White, Straight Sides, Deep): <br /> Bravo (Fiberglass, Deep Sump):L� Total Containment (Fiberglass):] <br /> Bravo (Plastic, Deep Sump): Western Fiberglass (Grey, Deep L):�� <br /> Phil Tite (White Inside, Green Outside, Deep L): Other C� <br /> Monitoring Sensor Information: <br /> Beaudreau (Sm Black Puck, Light Sensor): Bravo (Mechanical Float):C� <br /> Beaudreau (Modern Electronic):C� Veeder Root (Electronic):�� <br /> Other <br /> Test Start Time Test Finish H-Test <br /> HH:MM (12 Minute Duration Level Differential Pass/ Fail Condition Repair Notes <br /> y7 (3c) 7 asst Fail <br /> Pass / Fail <br /> Pass/ Fail <br /> Pass / Fail <br /> Pass/ Fail <br /> CR QRQ T-+ <br />