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I ]l <br />SB 989 Test Log Shell <br />Testing Contractor: 3725 Tracy Blvd <br />Tracy, CA 95376 <br />N021066 — testing <br />Product Piping Secondary Containment <br />Test Date: <br />Line Information: Fuel Grade: 87 / 87 Syphon Line / 8 - <br />/ 91 / D / M85 / WO Remote Fill <br />Type: Single Wall Qoubl <br />AO Smith (Gold): <br />Ameron (Red): <br />Environ (Green, Flex): <br />CTC (Black, Flex): <br />Western Co -Flex (Grey, Flex); <br />Other <br />Test Start <br />HH: IM / Pressure <br />sP� / <br />Test Finish P -Test <br />HH:MM /Pressure Pass / Fail <br />Pas Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />SB 989 Test Log Forms 2.0 <br />Secondary Piping: <br />AO Smith (Gold): <br />Ameron (Red): <br />TCI (Grey, Plastic): <br />CTC (Orange, Plastic): <br />CTC (Blue, Plastic): <br />Other <br />