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SWRCB, January 2006 <br />SPILL BUCKET TLSMG REPORT FOLeets eyoplteaable), bee pa RM <br />Thbjbm Is bdmdadjbr we v perfmomV ammud ksft of contaftment structumah. 77w campkiedfmm p*amdmfm <br />Advefacamy -wazloperworfor=1 tothe !heal regulatory agency. and <br />FaciljM Name: Pacific BeH 14Mhone Co. dba AT&T California Date of IguLn .05/1&12010 <br />Facility Addresw 124 W. ELM ST., LODI, CA 95242 GEO PAP. # UE020 <br />Facilily Contact: Connie Mitchell Facility Phone: 209-474-4022 <br />Doe Local A&M Was Notified of jgj LinK. 04/30/2010 <br />IName of Local Agency Inspector fif wesent dA <br />.�ng Wong): Ans it <br />C2mRM Name: TAIT ENVIRONMENTAL SERVICES <br />Technician gqn&cftM Test John Camo <br />Cmi=tWs: MCSLB Con uacW ®ICC Service Tech OSWP*Cl3Tank ®Other (specify) <br />!Liomm Humtgjs Tester <br />):AASBHAZBC-10; 588098:5252163 -UT <br />Test Method Used rye: ydrostatic Elvwuum [10dw <br />sett !her n (By TenetI I UE02OU001 12 3 4 <br />Pmdma, dc) I I I <br />Bucket Installation Type <br />ElDima Bury <br />®Contained inSump <br />Elqsof AST <br />nDinxt Bury <br />Elconained in sump <br />00n!MofAST <br />0Dh=tBury <br />0conmumd in sump <br />Oon top of AST <br />-ODima Bury <br />Elcontmed m sump <br />Eloaftop of AST <br />Bucket Diameter inches <br />11" <br />Bucket Depth fiaEh�es <br />16" <br />Wait rune between Wlysng <br />vacuum/water and Stan of test <br />Is MIN <br />Test Stan Tune: <br />9:20 AM <br />Initial Reading MW <br />14 1/8" <br />Test End Time: <br />10:20 AM <br />F" &14Lng M: <br />14 1/8" <br />Test Dumflon: <br />1 HOUR <br />Chan aeingmiftW-Lb): <br />—� <br />Pass/Fail Threshold or Criteria: <br />0 <br />Test Result <br />paw <br />I bweby cm1W that &N the imformadom contained In this report Is bv% murate mul In Mall compftm wkb 1hWd requIremmts <br />Technician's Sivature 0,0r, Dae 05/1812010 <br />10000' <br />