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SECONDARY CONTAINMENT TESTING - REPORT FORM <br />TESTING DATE: May 28 2003 <br />1. OWNER INFORMATION IRECEHED <br />Name Nella Oil Company <br />Address 2349 Rickenbacker Way, Auburn, CA 95602 Phone # 530-885-0401 <br />Contact Barbara Wozniak JUN 0 4 2003 <br />2. FACILITY INFORMATION ENVIRONMENT HEALTH <br />Name Nella #427 PERMIT/SERVICES <br />Address 3300 Waterloo Road, Stockton, CA 92050 Phone # 530-885-0401 <br />Contact Barbara Wozniak <br />3. LOCAL AGENCY INFORMATION <br />Name San Joaquin County Environmental Health Notified May 22 2003 <br />Address 304 E. Weber Avenue, Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Tank Team Fax # 209-468-3433 <br />Inspector Present No <br />4. TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. Lic # 617238 A, B, Haz <br />Contact Michael Walton Phone # 916-373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 Fax # 916-373-1172 <br />Test Technician James Day <br />5. SUMMARY OF TEST RESULTS <br />Number of Tank Annulars 0 <br />Number of Secondary Lines 0 <br />Number of Piping Sumps 0 <br />Number of Spill Containers <br />Number of UDC's Tested <br />3 <br />0 <br />Component <br />Pass Fail <br />Component <br />Pass Fail <br />Annular - Tank #1 <br />Gasoline - 87 <br />Spill Container #1 <br />Gasoline - 87 • <br />Annular - Tank #2 <br />Gasoline - 89 <br />Spill Container #2 <br />Gasoline - 89 • <br />Annular - Tank #3 <br />Diesel <br />Spill Container #3 <br />Diesel • <br />Secondary Line #1 <br />Gasoline - 87 <br />U D C #1 <br />Disp # 1 <br />Secondary Line #2 <br />Gasoline - 89 <br />U D C #2 <br />Disp # 2 <br />Secondary Line #3 <br />Diesel <br />U D C #3 <br />Disp # 3/4 <br />U D C #4 <br />Disp # 5/6 <br />Piping Sump #1 <br />Gasoline - 87 <br />U D C #5 <br />Disp # 7 <br />U D C #6 <br />Disp # 8 <br />Piping Sump #2 <br />Gasoline - 89 <br />U D C #7 <br />Disp # 9/10 <br />Piping Sump #3 <br />Diesel <br />U D C #8 <br />Disp # 11 /12 <br />6. COMMENTS <br />This is an annual test of spill containers. <br />ITechnician Signature 11 �i '� Date Z `Z— o 3 I <br />0 2003 Walton Engineering, Inc. <br />