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4 <br /> {0 <br /> L <br /> SWRCB,Janwy 2002 Pa g of <br /> Secondary 7huContainment <br /> .x <br /> form is Wended far we by c9n&aaorspefbrwbWperio&wft of MTsemdwy cont ' *via= Use the <br /> e es oft form to far all fo en t pr es,and <br /> P*MOVOfrom WO(f i e),sh be proWdW to thefadifty Ownerlopwarorfor=bmWal to the local regWatwy agency <br /> F Nam. T " of lesfax. 1/6/17 <br /> Facility Addra120 Frank West Circle,Swdrkm Ca 95206 <br /> F 916-386-3767 ` <br /> DW IAXW Agency Was Notified ofTesting: 15i17 <br /> e of Local Agency Impectorffpresent&wing tes <br /> 2. TESMG CONTRACTOR IWORMATION { <br /> Company N JP Petrolem SeMce <br /> Tedmician Conducting Test. Gabe Garcia <br /> Credeadala: x OLD Licensed Conumew ❑SWRCB Licensed Tank Teswr <br /> License Type: A LicenseNamber 8114711CC#5291582 <br /> WIN <br /> MMU&CUMa rer Tr:° a <br /> Dwe TrawaxI SUbMARY OF TEST RESULTSE <br /> 3 <br /> } <br /> of <br /> F.il Not COMP"wt PM Fri T <br /> edW Made <br /> Annular 1 x ❑ 0 ❑ UDC 1&2 x ❑ ❑ ❑ <br /> Anmilar xQ —0 -0 3&4 x ❑ ❑ <br /> Annulff 3 x 0 ❑ ❑ ❑ ❑ ❑ ❑ <br /> Line 1 x ❑ 0 ❑ ❑ 0 ❑ ❑ <br /> Line 2 x 0 0 0 0 0 ❑ <br /> Line 3 x ❑ 0 0 0 0 0 <br /> Line 4 x ❑ ❑ 00 ❑ ❑ ❑ <br /> Line S x ❑ ❑ ❑ ❑ ❑ 0 ❑ <br /> sump I x 0 ❑ ❑ 0 0 0 <br /> Sump 2 0 0 ❑ 0 0 ❑ ❑ <br /> Sump 3 x 0 0 0 ❑ 0 0 ❑ <br /> ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑ <br /> If hydm=c Wstn Was Pa1bowd,desmbe what was done with ft waw after completion of ° v <br /> Water was fidwred and retmned to hal ' <br /> 1 <br /> =x: '. <br /> CERTMCATION F TRCBMCIAN RFSPONSUBLE FOR CONDUCTING SS 501 <br /> To a of of e e e al <br /> Technician'ssig re: Date: <br /> ENVIRONMENTAL ENTAL HEALTH <br />