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tCB,January 2402 Page,S„_of -&-- <br /> Secondary Containment Testing Reportor <br /> 7ht s for m i s int for use by contr rs ming c g c?f mco contat sy . Unthe <br /> cWpropriadepages oftksform to rqxWrexdftAr all components tested The comWetedjbm written testpoceAres,and <br /> printout3ftom tests(Xf applicable),&hould be prorWed t®Siefaciftly ownploperatorjby admotal to the local regulatory <br /> 1. FACILITY INFORMATION SS#: 6347 <br /> Facility Name:BP West Coast LLC TDde <br /> Facility Address:2430 JOE POMBO PKWY City: TRACY Zip: 95376 <br /> Facility Contact: Ac>�V�a e• — Phone: 5M S--z-S-S-6s'7 <br /> Date Local Agency Was Notified of Testing: ca S <br /> Marne of Local AjencZ Inspector( resentduri tesftm): 40P—i L C.JCc!:-5 <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Co an Name: TAIT ENVIRONMENTAL.SYSTEMS <br /> Technician Conducting Test: ^(ZA„»a�5t�A ° <br /> Credentials: ACSLBLicensedC ctor 0SWRCBLicensed Tank Tooter <br /> License Type: AASBHAZBCIO License Number. 588098 <br /> Manufacturer Co on s Date Tra' E ires <br /> 3. SUBBLARY OF TEST RESULTS <br /> Convenent Fail Z, at Ca runt Pass Fail" Made Testa <br /> `L c` 0 ❑ ❑ ❑ 0 ❑ ❑ <br /> p' ❑ 0 ❑ 0 ❑ ❑ D <br /> v 0 0 ❑ ❑ 0 0 ❑ <br /> �a.. 8' 0 0 0 ❑ 0 0 0 <br /> Cr ❑ ❑ ❑ 0 D ❑ 0 <br /> 9' 0 0 ❑ 0 ❑ 0 ❑ <br /> F►d H- ❑ 0 0 ❑ 0 ❑ 0 <br /> CP 1 131 ❑ ❑ 1 0 0 0 <br /> 01 D 1 0 0 0 0 ❑ 0 <br /> ❑ ❑ ❑ 0 ❑ 0 0 ❑ <br /> ❑ 0 ❑ 0 0 ❑ ❑ 0 <br /> ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ <br /> If hydrostatic testing was performed,describe what was done with the water after completion of tests: <br /> �c <br /> CERTIFICATION OF TECHNICIAN RESPONSEBLE FOR CONDUCTING THIS TESTING <br /> To do best of mJ'knowleAV,thajbeftstated in tilos docianent are accurate and infull emplIance with legal re <br /> Technician's Signature: "`-------... Date: /4` —O <br />