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P.O. Box 4208 <br />Sonora CA 95370 <br />Ca: 623541 A-Haz <br />Phone: 209-532-7320 <br />Fax: 209-533-2650 <br />mail@alltechpetro.com <br />www.alltechpetro.com <br />BP ticket # 9858888/9862777 <br />Contracted Testing Company: Alltech Petro Inc. <br />Site Name: Arco 2093 <br />Technician: Isaac Anderson <br />Site Address: 3425 Tracy Blvd <br />City: Tracy CA <br />At " <br />Zip: 95376 Arrival Time: 9:30 AM <br />Date/Time of Test:11/28/12 <br />1 Departure Time: 12:30 PM <br />Inspect the VP1000 vacuum pump, Check flow rate at maximum (handheld) dispensing position for <br />every grade at each nozzle, Check clean air separator for proper ball valve configuration, Perform <br />the Healy Weekly <br />Monitoring System Certification, Spill/Overfill Containment Box Test, ER Pump/Dispenser Shut -Off Test, <br />Impact Valve Test, Complete Equipment Survey, LeakDetector Test (7 -day notice via fax only) <br />OOS: <br />No need for a return visit. <br />Signature of Technician: <br />Signature of Onsite Representative <br />'�' <br />j711,111 <br />Scope of Work: Performed Annual Monitor Certification <br />Nov 28, 2012 <br />Perform Healy Quarterly Inspection <br />Nov 28, 2012 <br />Tasks Completed: Performed Annual Monitor Certification <br />Nov 28, 2012 <br />Perform Healy Quarterly Inspection <br />Nov 28, 2012 <br />Tasks Needing a Return Visit: <br />Inspect the VP1000 vacuum pump, Check flow rate at maximum (handheld) dispensing position for <br />every grade at each nozzle, Check clean air separator for proper ball valve configuration, Perform <br />the Healy Weekly <br />Monitoring System Certification, Spill/Overfill Containment Box Test, ER Pump/Dispenser Shut -Off Test, <br />Impact Valve Test, Complete Equipment Survey, LeakDetector Test (7 -day notice via fax only) <br />OOS: <br />No need for a return visit. <br />Signature of Technician: <br />Signature of Onsite Representative <br />