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Alltech Petro Inc. <br /> 17759 Buttercup Circle, Sonora, CA 95370 <br /> Phone: 209-532-7320; Fax: 209-533-2650 <br /> California Contractor 623541 A-Haz <br /> ICC Technician: 5259412-UT <br /> SWRC13 Tank Tester: 90-1068 <br /> mike(o)allteclapetro.com <br /> Spill Bucket Testing Report Form <br /> FACILITY INFORMATION: <br /> Facility Name: Hammer I-5 Arco Date of Testing: Thursday,August 09,2007 <br /> Facility Address: 3201 W.Hammer Lane Stockton CA <br /> Facility Contact: Wes Parkinson Phone: (209)474-9125 <br /> Notification Date of Local Agency: 7/22/2007 <br /> Name of Local Agency Inspector:Michelle Henry <br /> SPILL BUCKET TESTING INFORMATION: <br /> Test Method Used: ®Hydrostatic ❑Vacuum Other <br /> Test Equipment Used: I-Hour Observed Test Equipment Resolution: 1/16" <br /> Identify Spill Bucket I Reg 1 2 Reg 2 3 Premium 4 <br /> Bucket Installation Type: Direct Bury Direct Bury Direct Bury Direct Bury <br /> ®In Sump Z In Sump In Sump In Sum <br /> Wait time between applying None None None <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): 10:15 10:15 11:10 <br /> Initial Reading(Rj): Top of Cap Top of Cap Top of Cap <br /> Test End Time(TF): 11:15 11:15 12:10 <br /> Final Reading(RF): Top of Cap Top of Cap Top of Cap <br /> Test Duration(TF—TI): 1.0 Hr 1.0 Hr 1.0 Hr <br /> Change in Reading(RF-RI): 0.0 0.0 0.0 <br /> Pass/Fail Threshold or 1/16" 1/16" 1/16" <br /> Criteria: <br /> Test Result: ® Pass ❑Fail ® Pass ❑Fail I ® Pass ❑Fail ❑ Pass ❑Fail <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Replaced fillcap and cleaned drain valve on Premium <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements. <br /> Technician's Signature:_Mf� 10,cZ�,P,I!► Date: <br />