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1. TANK ANNULAR TESTING <br /> Company Name: B.Z. Service Station Maintenance <br /> Company Address: 1041 Triangle Ct.,West Sacramento,CA 95605 <br /> Credentials: ®CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: ICC License Number:433159 <br /> Test Equipment Used:VACUUM GAUGE Equipment Resolution:0.5" <br /> Tank#87/91/DSL Tank# Tank# Tank# <br /> Is Tank Exempt From Testing?' ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No <br /> Tank Capacity: <br /> Tank Material: FBG <br /> Tank Manufacturer: U N K <br /> Product Stored: UNL/DSL <br /> Wait time between applying <br /> pressure/vacuum/water and 5 MIN <br /> starting test: <br /> Test Start Time: 10:50 <br /> Initial Reading(Ri): -10" " <br /> Test End Time: 11:50 <br /> Final Reading(RF): -10" " <br /> Test Duration: 1 HR I HR I HR 1 HR <br /> Change in Reading(RF-Ri): 0 <br /> Pass/Fail Threshold or Criteria: 0 0 0 0 <br /> Test Result: ® Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br /> Was sensor removed for testing? ❑ Yes®No❑NA E]Yes E]No❑NA [:1 Yes❑No❑NA ❑Yes El No El NA <br /> Was sensor properly replaced and ElYes ElNo®NA ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑ No❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> RE(7 '71VED <br /> APR 17 2019 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> Secondary Containment Test Results 1 of 6 <br />