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SB 989 Test Log <br />Testing Contractor: <br />Under Dispenser Containment <br />Sump Information: Dispenser Number: <br />Shell <br />2375 W. Grant Line Rd. <br />Tracy, CA 95376 <br />N021210- Testing <br />Test Date: i ✓ Z v/ C' Z <br />Sump Type: Sallow / Deep I Deep L <br />Bravo (Steel, Shallow Pan): <br />Bravo (Fiberglass, Deep Sump): <br />Bravo (Plastic, Deep Sump): <br />Phil Tite (White Inside, Green Outside, Deep L): <br />Monitoring Sensor Information: <br />Beaudreau (Sm Black Puck, Light Sensor): <br />Beaudreau (Modern Electronic): <br />Other <br />OPW Pices (White, Straight Sides, Deep): <br />Total Containment (Fiberglass): <br />Western Fiberglass (Grey, Deep L): <br />Other <br />Bravo (Mechanical Float): <br />Veeder Root (Electronic): <br />Test Start Time Test Finish h -T t <br />HH:MM 12 Minute Duration Level Differential /Fall Condition Re air Notes <br />I. coo 0 2, a / . ail <br />F�as / Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fai! <br />SB 989 Test Log Forms 2.0 <br />11 <br />C <br />