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MAY-13-2008 04:38P FROM: TO:4683433 P.24 <br /> SWRCS,January 2006 <br /> Spilt Bucket Testing Report Form <br /> This form is amended for use by cowractom perfbmhW4MM41 testing Of USTS.M11 COWMMCAN-OPROINF65- 77w cmpletedjam and <br /> prboovirftom tests(rfapp ftcable),should beprovided io,the facility ownerloperator for submural to the local regulatory agency. <br /> I. FACTL TION <br /> — M <br /> Facility Name: TRACY TRUCK AND AUTO STOP Date of Testing: 4115 <br /> Facility Address: 3940 N.Trity Blvd Tracy Co.95376 <br /> Facility Contact: Debbie Jutla Phone: (209)83Z-006 <br /> Dam Local Agency Was Notified of Testing: 3/25108 <br /> Name of Local Agency Inspector(#"prwerd dwvig urfine. Mcbefle Henry <br /> 2. TESTING CONTRACTOR R4FORMATION <br /> Company RELIABLE PETROLEUM SERVICES INC. <br /> Technician Conducting Test: Guadalupe Sanchez <br /> Credentials'-. X CSLB Contractor X [CC Service Tech. 0 SWRCB Tank Tester 0 Outer/Specify) <br /> License-Ntanber(s): 883706 525SI-UT <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Mediod Used: X Hydrustinfic 13 Vacuum 0 Other <br /> Test Equipment Use: St2nd9r4 Tape Measure EquipmentRiesolution: <br /> Identify Spill Bucket(By Tank TI:87 Unleaded T4:Diesel 2 East <br /> Numb,,.StoradProdua,!La) Fill 1411 <br /> Bucket installation Type: X Direct Bury X Direct Bury Direct Duty Direct Bury <br /> Contained in Sump Contained in Sump Contained in S!!Lx2 Contained in jum <br /> I p_ <br /> Bucket Diameter 12" 12" <br /> Bucket Depth: 13 Mr 11 31V <br /> Wait time between applying I.Min. 1 min. <br /> vacuum/water and start of test: I <br /> Test Start Time(TI)r I.-OOP.M 1:03pm <br /> Initial Reading(EQ: 12" 9116" <br /> Test End Time(r.): 2:95pm 2:05P.M <br /> Final Reading(RFIV 89/1611 <br /> Test Duration(TF—TI). Ihr. Satin. 11hr.2min. <br /> Change in Reading(RF- 0 0 <br /> Pass/Fail 7breshold.or 1/161 1/16" <br /> Criteria: <br /> Test Rmult: X Pass Fail I—X pan Fai=t Pass Fail pass Fan <br /> Comments—(inelvda!lf <br /> 2!uzalion an rMah-smade prier to La5.�tn ,and r&cD=mf24!5QW1ow-2 fur�adedtEg) <br /> Replaced mill bucket gn 87 -U—n1c4dcd Fill & performed a YdMcesa test for both <br /> Snill hwckets- <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING TFUS TESTING <br /> I 1wreby cenf&that all Ike Info Ian contained ht dds report Js true,accurate,and to full conpflance w&A loyal rcquirenwaft <br /> Date: 411 <br /> TechnWan1sSip%u=---:: = g!�� =zz <br /> 00 1 <br /> ' Stab-,laws and regulations do not currently require testing to be performed by a qualified coot-actor.However,local requirements <br /> may <br /> ., be more soingant. <br />