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ACEIVED <br /> DEC 3 0 2016 <br /> ENVIRONMENTAL HEALTH <br /> 1.FACILITY INFORMATION DE-1201RAFNI <br /> Facility Name: Unocal#255886 Date of Testing: 11/30/16 <br /> Facility Address: 2701 West Match Lane,Stockton Ca 95219 <br /> Facility Contact: Phone: (209)473-7337 <br /> Date Local Agency Was Notified of Testing: 10/28/16 SB989—3yr.Compliance Test <br /> Name of Local Agency Inspector(ifpresent during testing): <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name:ABLE Maintenance,Inc. <br /> Technician Conducting Test; Chris Graham I.C.C.#5252492-UT <br /> Credentials: Z CSLB Licensed Contractor El SWRCB Licensed Tank Tester <br /> License Type:A,B,Haz.,CIO License Number: 312844 <br /> Manufacturer Training <br /> Manufacturer Com 2onent(s) Date Training Expires <br /> Available upon request <br /> 3. SUMMARY OF TEST RESULTS,______ <br /> Component: Pass Fail Not Repairs Component: Pass Fail Not Repairs <br /> Tested_----Made Tested Made <br /> 87 Tank Annular Im 0 0 ❑ UDC 11/12 _0_1 El 11 0 <br /> 91 Tank Annular 1XI 0 0 0 0 0 0 11 <br /> Diesel Tank Annular 0 0 0 0 0 0 0 <br /> 87 Secondary Product ❑ im 0 11 0 0 0 0 <br /> 91 Secondary Product ❑ M 0 0 0 0 0 0 <br /> Diesel Secondary Product 0 EM ri 0 0 El El El <br /> 87 Turbine Sump 21 0 11 -0 0 0 0 0 <br /> 91 Turbine Sump IM 0 0 11 0 0 11 0 <br /> Diesel Turbine Sump El 191 11 -L-0 ❑ 0 0 0 <br /> UDC 1/2 IM 0 0 0 0 0 0 0 <br /> UDC 3/4 1 10 111 0 0 0 0 0 0 0 <br /> UDC 5/6 0 0 11 0 11 11 0 <br /> UDC 7/8 ❑ IM 0 0 0 D El ❑ <br /> UDC 9/10 I 0 11 0 L—;-- — <br /> If hydrostatic testing was performed,describe what was done with the water after completion of tests: <br /> Used pump test truck <br />