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Ri li <br /> P.O.Box 4208 <br /> Sonora CA 95370 <br /> JUL 0 3 2017 Ca:623541 A-Haz <br /> A li���h Pe tr -a Phone:209-532-7320 <br /> Compliance without Compromise ENV! N IV­�E.N TA L HEALTH Fax:209-533-2650 <br /> mail@alltechpetro.com <br /> wwwalltechpetro.com <br /> Spill Bucket Testing Report Form <br /> FACILITY INFORMATION: <br /> Facility Name: Hammer 1-5 Arco Date of Testing: Thursday, May 25, 2017 <br /> Facility Address: 3201 W. Hammer Lane Stockton CA <br /> Facility Contact: Wes Parkinson Phone: (209) 474-9125 <br /> Notification Date of Local Agency: 5/18/17 <br /> Name of Local Agency Inspector: Vicki McCartney <br /> SPILL BUCKET TESTING INFORMATION: <br /> Test Method Used: Z Hydrostatic 0 Vacuum r,--E] Other <br /> Test Equipment Used: 1-Hour Observed Test �Eqipment Resolution: 1/16" <br /> Identify Spill Bucket 1 87A_S on 2 87B M!Ofer 3 91 n 4 <br /> Bucket Installation Type: El Direct Bury <br /> ry El Direct Bury 0 Direct Bury F-1 Direct Bury <br /> 0 In Sump E in Sump Z In Sump El In Sump <br /> Wait time between <br /> applying vacuum/water None None None <br /> and start of test: —1 <br /> Test Start Time (T): 11:30 11:30 9:45 <br /> Initial Reading (R,): 3 3/8" above cap 2 1/8"above cap 1 1/8" above cap <br /> Test End Time (T,): 12:30 12:30 10:45 <br /> Final Reading (R,): 3 3/8"above cap 2 1/8"above cap 1 1/8"above cap <br /> Test Duration (TF—Tj): 1.0 Hr 1.0 Hr 1.0 Hr <br /> Change in Reading (RF-R,): 0.0 1/2 inch 0.0 <br /> Pass/Fail Threshold or <br /> 1/16" 1/16" 1/16" <br /> Criteria: <br /> Test Result: E Pass E] Fail El Pass Z Fail,, E Pass Ej Fail 0 Pass Ej Fail <br /> Comments — (include information on repairs made prior to testing, and recommended follow-up for failed <br /> tests) <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 <br /> legal requirements. <br /> Signature of Technician: .* Date: 5/25/17 <br />