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3 <br />t _ Ti ACTLTTV TNF0RMATT0N <br />Facility Name: Shell # 136187 Date of Testing: 4/12/17 <br />Facility Address: 2375 W. Grant Line, Tracy, CA 95376 <br />Facility Contact: Phone: (209) 836-8908 <br />Date Local Agency Was Notified of Testing: 3/16/17 SB989 — 3yr. Compliance Test <br />Name of Local Agency Inspector (if present during testingJ: <br />2. TESTING CONTRACTOR INFORMATION <br />Company Name: ABLE Maintenance, Inc. <br />Technician Conducting Test: Shawn Sbragia/ I.C.C. #8307967 <br />Credentials: ® CSLB Licensed Contractor 0 SWRCB Licensed Tank Tester <br />License Type: A, B, Haz., CIO I License Number: 312844 <br />Date <br />Available upon request <br />3. SUMMARY <br />OF TEST RESULTS <br />Component: Pass Fail Not Repairs <br />Tested Made <br />Component: Pass Fail Not Repairs <br />Tested Made <br />91 Fill Sump ® <br />❑ ❑ <br />❑ <br />i <br />DSL Fill Sump ® <br />❑ ❑ <br />❑ <br />d <br />i <br />If hydrostatic testing was performed, describe what was done with the water after completion of tests: <br />Used pump test truck�� <br />e An <br />