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MAR-13-2008 09 :08 AM GETTLER—RYAN INC. 925 551 4770 P. 02 <br /> 1 0e <br /> Secondary Containment Testing Report For <br /> Fiar f./.se hp Unldocs Member Ageenc•ies or whore appriti-e l by)r()rtr Loc'ul Jtlrisdiellon <br /> trrllde)KIY(. ted. /leulllr rrrlcl,kiliHe ('ride��' S?rl 3 7'ille?3!'(.''!�y�;r 37lrrl('�) <br /> This form, or the standard fours develped by the State Water Resources Control Board (SWR.C.:F:t), must be used <br /> by contractors performing periodic testing of underground storage tank (UST) secondary containment systems <br /> in Unidocs member agency jurisdictions. The completed form, written test procedures, data collection loss,and <br /> printouts from test equipment (if applicable), must be provided to the facility owner/operator for submittal to <br /> the local regulatory agency within 30 days of the test date. <br /> SWRCB requires that the entire volume of each sump and under-dispenser containment(UDC) system be tested <br /> if the sump/UDC is not equipped with a continuous monitoring system that shuts down the pump when a leak is <br /> detecetd or the leak detection sensor fails or is disconnected. ISee tiwkc'13 Local(;ltidapec i.cltor 1_,G-1601 <br /> Systems where leak detection equipment continuously monitors both primary and secondary containment (e.g. <br /> systems that are hydrostatically monitored or under constant vucuurn) are exempt from periodic testing <br /> requirements. 12:3 CUR§2637(a)(611 <br /> In the case of pressure/vacuum testing, a?Y loss in pressure/vacuum during the course of the test shall be <br /> considered a failed test, regardless of the manufacturer's criteria for declaring a passed test. l23 CCR 0207(mliZ)1 <br /> A. Facility Information <br /> Facility Name: A Telchert Sons Inc. Date of 1'estin : <br /> _ _ March 4 2aa8 <br /> site Address: 124 Frank West Cir Stockton,CA_� -------__ _. _ <br /> Facility Contact: Steven Schamen - � t�t,oc 916-386-3716 <br /> Date Local Agency was Notified of Testing <br /> Name of Local Agency Inspector Oftresent driring iesaoig): Ra Nongf luc <br /> B. Testing Contractor Information <br /> Company Name: Gettler-R�ln Inc. _ _ __ <br /> Credentials ®CSLB-Licensed Cont3�actor; f SWRCt3-Licensed'1a_nk'T'ester <br /> License Type: ® A; [IC-10; ❑C-34;❑C-36; ❑C-61 (1)40) � ____ License Number: 220793 <br /> Name of Technician Conductin Tests. Pete Garcia <br /> — _ Traininby_ uipment Manufacturcr __ <br /> _Manufacturer component(s)� -_-- l)WW6T 871 Ing [.xpires <br /> IN60N n 4umpS stem QP_..____ 4-2-2009 <br /> C. Certification by Technician Responsible for Conducting 'resting <br /> To the best of my knowledge,the facts stated in this document are accurate and in full compliance with <br /> legal requirements. <br /> rechniciaws signature: ._._. .. __.__.._._..._........ — Date: <br /> I N-014•111e www.unidomovg 112/?6/t►? <br />