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38196NC-Stockton,CA Summary <br />wicu►r f' f%MCTPI IrTintJ m n - _InR 1 A(-, SUMMARY <br />TYPE OF TEST (Pretest, Final, Leak locate, Retest] = <br />F%Iia/ <br />Probe Install? (Yes/No) <br />NO <br />Job Number: <br />38196NC <br />Client: <br />CGRS <br />Contact: <br />Brian Green <br />Site Name: <br />Fremont Shell <br />Phone: <br />970-420-6822 <br />Site Address: <br />2494 E. Fremont <br />ISIte contact- <br />Jim Day <br />City, State: <br />Stockton, CA 95205 <br />Site Phone: <br />916-826-3085 <br />Crew: <br />Site Lead: Nick Hill <br />Secondary Vent <br />TS FVRS TI Tank / "Line <br />Start (in) End (in) <br />Crew: Steve Anderson <br />87 <br />ota -Billable Mrs initial <br />Start Date: <br />06/15/05 Start Time: 8:30am <br />End Time: 7:00pm <br />10.5 10.5 <br />Day Two Date: <br />06/16/05 Start Time: 7:30am <br />End Time: 3:30pm <br />8 8 <br />Day Three Date: <br />06/17/05 Start Time: <br />End Time: <br />Day Four Date: <br />06/18/05 Start Time: <br />End Time: <br />Day Five Date: <br />06/19/05 Start Time: <br />End Time: <br />29 <br />MAKE NOTES IF YOU HAVE ANY UNBILLA13LE HOURS <br />Total Billable Hours <br />18.5 <br />Total Detected Leaks <br />Brine <br />LINES <br />TANK <br />Tracer/He <br />Start <br />TEST Complete <br />Prima <br />Secondary Vent <br />TS FVRS TI Tank / "Line <br />Start (in) End (in) <br />87 <br />Pass <br />Pass Pass <br />Pass Pass N/A ANV <br />53" 53" <br />91 <br />Pass <br />Pass =PassPass <br />Pass N/A I ANV <br />50" 50" <br />VR / Vent <br />Pass <br />Pass <br />UCs -# <br />4 Pass <br />HSP / PROBES - # <br />HSP <br />6 # Samples <br />29 <br />COMMENTS: (Leaks, unbillable hours, site specific info) <br />Leaks located in 91 is at the ATG riser to manway and on an elbow on the VR line, in the 87ts at the 4in. Plug on the VR and vent T connection <br />and on the product line where the pipe enters the boot entry, in udc 1 under the 87 shear valve where it connects to a 45 elbow. <br />Form Completed By: Nick Hill Date: 6/16/2005 State Lic # 05-1701 <br />Hours Approved By: Signature: Date: <br />QA Review By: Date: Time: <br />Page 1 <br />