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*PM Bucket Testing Report Om MCB, ranβ€ž, 2006 <br />77tis form is intendedfor use by contractors performing annual testing of US".l spill oontaimmnt sbkCtwes The completed form an <br />printouts from.tests (if applicable), should be provided to the factitty owner/operator for submittal to the local regulatory agency. <br />Fgcil ty Name: ESCALON NM MART Date of Testing. _12-13.16 <br />Facility Address: 1097 E YOSENDTE BLVD ESCALON CA <br />Pacility Contact: BILL1 OUe: 209.838-1546 <br />Date Local Agency Was Nodfied of Testing :11-21.16 <br />Name of Local Agency Inspector (t(present during testing): SN FAT1NAH <br />2. TESTING CONTRACTOR MORM,A,TION' <br />Company Name: APPORDA `)<'EST 416 2"d Street Galt, CA 95632(249) 744-0112Fait (209) 744-0116 <br />Technician Conducting 'gest: ❑ Lyle D. Nimmo ❑ Zane A. Nimmo ❑ David A. Winkler 0 Felix G. Rx»itez <br />5249115 -UT 5263322-U'T 5263373 -UT 5273934-U'T <br />Credentials": ®iCC Service Tech. ® SWRC 1 Tank Tester <br />