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Y <br />• 0 <br />SECONDARY CONTAINMENT TESTING - REPORT FORM <br />TESTING DATE: MAY 14, 2002 <br />1. <br />OWNER INFORMATION <br />Number of Tanks Tested <br />Number of Piping Sumps Tested <br />3 <br />3 <br />Name Nella Oil Company <br />Number of Piping Runs Tested 3 <br />Number of UDC Boxes Tested 8 <br />Component <br />Contact Jack Rhoades <br />Phone # <br />(530) 885-0401 <br />Gasoline - 87 <br />Address 2349 Rickenbacker Way, Auburn, CA 95602 <br />O <br />Annular - Tank #2 <br />Gasoline - 89 <br />• <br />O <br />2. <br />FACILITY INFORMATION <br />Diesel <br />• <br />O <br />Name Nella #427 <br />Secondary Pipe #1 <br />Gasoline - 87 <br />• <br />Contact Jack Rhoades <br />Phone # <br />(530) 885-0401 <br />Gasoline - 89 <br />Address 3300 Waterloo Rd., Stockton, CA 92050 <br />O <br />_. <br />Diesel <br />• <br />O <br />3. <br />LOCAL AGENCY INFORMATION <br />Gasoline - 87 <br />• <br />O <br />Name San Joaquin County Environmental Health <br />Notified <br />May 6, 2002 <br />• <br />Contact Tank Team <br />Phone # <br />(209) 468-9847 <br />Diesel <br />Address 304 E. Weber Ave., Stockton, CA 95202 <br />Fax # <br />(209) 468-3433 <br />U D C #1 <br />Inspector Present <br />• <br />O <br />. <br />_... <br />• <br />4. <br />TESTING CONTRACTOR INFORMATION <br />U D C #3 <br />Disp # 3/4 <br />• <br />Name Walton Engineering, Inc. <br />Lic#/Class <br />617238 A, B, Haz <br />Disp # 5/6 <br />Contact Michael Walton <br />Phone # <br />(916) 373-1152 <br />U D C#5 <br />Address P.O. Box 1025, West Sacramento, CA 95691 <br />• <br />O <br />Test Technician David Py <br />Disp # 8 <br />• <br />5. SUMMARY OF TEST RESULTS <br />Number of Tanks Tested <br />Number of Piping Sumps Tested <br />3 <br />3 <br />Number of Piping Runs Tested 3 <br />Number of UDC Boxes Tested 8 <br />Component <br />Pass Fail <br />Comments <br />Annular - Tank #1 <br />Gasoline - 87 <br />• <br />O <br />Annular - Tank #2 <br />Gasoline - 89 <br />• <br />O <br />Annular - Tank #3 <br />Diesel <br />• <br />O <br />Secondary Pipe #1 <br />Gasoline - 87 <br />• <br />O <br />Secondary Pipe #2 <br />Gasoline - 89 <br />• <br />O <br />Secondary Pipe #3 <br />Diesel <br />• <br />O <br />- <br />Piping Sump #1 <br />Gasoline - 87 <br />• <br />O <br />.J <br />Piping Sump #2 <br />Gasoline - 89 <br />• <br />O <br />Piping Sump #3 <br />Diesel <br />• <br />O <br />U D C #1 <br />Disp # 1 <br />• <br />O <br />U D C#2 <br />Disp # 2 <br />• <br />O <br />+ _- <br />U D C #3 <br />Disp # 3/4 <br />• <br />O <br />U D C #4 <br />Disp # 5/6 <br />• <br />1 O <br />U D C#5 <br />Disp # 7 <br />• <br />O <br />U D C#6 <br />Disp # 8 <br />• <br />O <br />U D C #7 <br />Disp # 9/10 <br />• <br />O <br />UDC#8 <br />Disp #11A2 <br />• <br />O <br />Date <br />Technician Signature <br />i <br />