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Appendix VIII <br /> Underground Storage Tank SA-31595 <br /> Spill Container Testing Report Form <br /> TYPE OF ACTION ❑ Installation ❑ Repair 0 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Test Date <br /> 10141507 2024-08-06 <br /> Facility Name <br /> Manteca CO <br /> Facility Address City ZIP Code <br /> 430 W Center St Manteca 95336 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Test Phone <br /> SunWest Engineering Constructors, Inc (888) 588-8737 <br /> Mailing Address <br /> 4780 Cheyenne Way, Chino CA 91710 <br /> Service Technician Performing Test <br /> Kraig Kinder <br /> Contractor/Tank Tester License Number <br /> 703190 <br /> ICC Number ICC Expiration Date <br /> 8296393 2024-11-10 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Franklin Fueling Spill Containment 06/14/2025 <br /> 4. TEST PROCEDURE INFORMATION <br /> Test Procedures Used Components Tested <br /> PEI/RP 1200 Philtite Spill bucket <br /> 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING <br /> I hereby certify that each spill container was tested in accordance with California Code of <br /> Regulations, title 23, division 3, chapter 16, section 2637.1; that required supporting <br /> documentation is attached, and all information contained herein is accurate. I understand <br /> that test procedures shall be made available upon request by the governing authority. <br /> Service Technician Signature Date Total # of Pages <br /> Vy 2024-08-06 2 <br /> 6. SPILL CONTAINER DETAILS <br /> CERS = California Environmental Reporting System, ID = Identification, ICC = International Code <br /> Council <br /> Page 16 of 18 <br />