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WRCB,Jaiwaiy 2002 Pate of <br /> Secondary Containment Testing Report Form <br /> Thrx farm as inumdrr}1 rr u%e ky contruciors perfirrmingperiodw iektrrrg al'UNT veumdary i vnioinuient,vjwfenr.v. 1lre the <br /> apprrr{rriafe}rages of AhT firrm fn repirt revuhs/ixr all ea mp nenu iesfed. The cnmpleled form, wriflen iesllmwedures,arm <br /> p6niouts from) tests(if applicable),should be provided to the facility vivnerloperatorfor sielrrriittal to the local regulalory agency. <br /> 1. FACi[.ITY INFORMATION <br /> Facility Pilot 618 Ripon late ofTesliug. 0812012025-0812312025 <br /> i-aeffity Addr 1501 N. Jack Tone Road <br /> Facility Cnntacf, Site Manager l'i7unr: (8861972-7591 <br /> Date Local Agency Was Notified of Testing : 0713012025 <br /> Name of Local Agency I nspector (if present during teffr'W: <br /> 2. `r EST ING CONTRACTOR INV0RMXf]ON <br /> Cumpsny Dame: James iwuvey Group.Inc. <br /> Technician Conducting Test. Shawn Rodriguez <br /> C'rctlenduls: WUSI-13 Lic used Contracu)r SWRC B LiLunsud` Hnk TcmLi <br /> 1.iccnse'l yew A, Band Haz J l_It'ensL Ntjmbcr. 944431 <br /> Manufacturer Training <br /> 1+lantAuclurer C0F11 riie1ii(x) Dull Truinin g Ex ircy. <br /> Franklin Fueling Systems Sump Test System Operation -Inwn Level d 41021753712 IM312028 <br /> 3. SUMMARY 0 ` EST RESUL'Tfi <br /> fat i cp�i� <br /> Component P$sx Fail Not Repairs 7emlcd Made Component �Pars Fail TesUA Made, <br /> T1 Diesel STP 5? _ _n _ UDC 13 rwr I1 V1 <br /> T2 Diesel STP v I l� I l Ll UDC 14.15 n ❑ 12 <br /> T3 Diesel STP 1? ❑ ❑ ❑ UDC 15 Ije - ❑ ❑ <br /> 87 STP I I I I C] UDC 19 11 11 <br /> 91 STP q f1 f1 ❑ UDC 19 SAT W P1 F1 <br /> TG Auto Diesel STP Y ❑ ❑ ❑ UDC 20 IV ❑ ❑ <br /> UDC 1-2 ig ❑ ❑ 0 UDC 20 SAT L - ❑ ❑ <br /> UDC 3-4 _ ? n n rl UDC 21 I F1 n <br /> UDC 5-6 ❑ ❑ G UDC 21 SAT lir Q l <br /> UDC 7-3 :+V. n n 17 UDC 22 Ii - n 0 <br /> UDC 940 ❑ _ ❑ C UDC 22 SAT fir - ❑ ❑ <br /> UDC 11-12 Ji., n F1 - UDC 23 n <br /> If hydnwatic thing wax purfknmcd, &,;rnhu what wits L�snc with ibc water of um t:nmplt•icM of tt' IS. <br /> Returned to holding tank_ _ <br /> CERTI F1 CATION OF TECRNICIAN RESPONSIBLE FOR CON DUCT[N{; THIS TESTIN(; <br /> To the best axf my Ji;nowWw, the fads fratad in this d rrur ent are arerrratc and in full compliance sp&h fegal rvegrrrremenrts <br /> Technician'sSigniture: w r Date:0$12W202 <br />