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Providers for MDleak® MSleak® DPleak®, MCleak® and <br />PHDleak® Testing Technologies <br />Page 2 of 4 <br />Test Type: <br />Facility Name: Job #: 5116 <br />Prepared For: PO #: <br />Site Address: <br />City: <br />State and Zip: CA 95337 <br />Start Date:End Date: <br />SYSTEM TK-1 87 TK-2 91 TK-3 DSL <br />20000 15000 12000 <br />Xerxes Xerxes Xerxes <br />Brine Brine Brine <br />75" 75" 79" <br />10 ft 10 ft 10 ft <br />No Fuel No Fuel No Fuel <br /> <br />Tank Sump Boots Turbine <br />Bravo Bravo <br />6.00 0 0 0 <br />Manufacture <br />EVR: <br />Certifying Field Technician: State Lic. # : <br />Certification Leak Rate: 0.005gph <br />Certifying Technician Signature: Date: <br />Statement Confirmed by: Date: <br />Atherton Drive & Union Road <br />Manteca <br />6/5/2023 6/6/2023 <br />Ricardo Gonzalez <br />Tank Volume in Gallons: <br />UST Manufacture: <br />Type of Interstice: <br />Depth To Top Tank: <br />Tank Diameter: <br />OPW <br />Bravo <br />Smith <br />Smith <br />Flexing <br />Spill Buckets: <br />Veeder-Root <br />Wayne <br />Office use only <br />6/6/2023 <br />Depth to Ground Water: <br />Component Manufacture: <br />UDC/Dispensers Information <br />Number of Dispensers: <br />Manufacture: <br />Shear Valve Manufacture: <br />Containment Boots: <br />Piping Information <br />Product Lines: <br />Vapor Return / Vent: <br />Depth of Liquid Within Tank: <br />6/6/2023 <br />Facility Certification CONFIDENTIAL <br />California ELD New Construction Test <br />Chevron <br />Jones Covey Group Inc. <br />Flex: <br />If you have any questions on the testing please do not hesitate to call. @ 855-255-5325. <br />I declare under penalty of perjury that I am a licensed tester in one of the above methods listed by the National <br />Workgroup on Leak Detection Evaluations (NWGLDE)organization and that the information contained in this report is <br />true and correct to the best of my knowledge. <br />This is a statement to confirm that the components listed above, at the time of testing, have been tested to a leak <br />sensitivity listed above by using one or more of the following DPleak®,MDleak®,MCleak and PHDleak®EPA aproved <br />Methods. These Methods are the most versatile and comprehensive testing procedures offered to the petroleum <br />industry. All petroleum owners and contractors which utilize the DPleak®,MDleak®,MCleak, and PHDleak®Method can <br />be assured that their facility has passed the Nation's highest standard in preventative leak detection. <br />04-1695 <br />OPW