Laserfiche WebLink
WRCB,Jwivaiy 2002 Page of <br /> Secondary Containment Testing Report Form <br /> Thrx farm as inumdrr}1 rr u%e ky conlraciors perfirrmrrrg}reriodw iektrrrg al'UNT veLymdary ivnioinnient,vjwfenr.v. 1lre the <br /> appmPriafe}rages of AhT firrrrr all enimp neniv iesfed. The compleled form, wriflen iesllmwedures,arm <br /> p6niouts from) tests(if applicable),should be provided to the facility oivnerloperar+orfor sielrrriittal to the local regidalory agency. <br /> �. FACi[.ITY INFORMATION>FacilityName, Pilot 618 Ripon late ofTesliug. 0812012025-0812312025 <br /> i-aeffity Addr 1501 N. Jack Tone Road <br /> Facility Cnntacf, Site Manager l'i7c�n (8861972-7591 <br /> Date Local Agency Was Notified of Testing : 0713012025 <br /> Name of Local Agency I nspector (if irresenf during teffr'W: <br /> 2. `r EST ING CONTRACTOR INFURMXf]ON <br /> Cumpsny Dame: James Covey Group.Inc. <br /> Technician Conducting Test. Shawn Rodriguez <br /> C'rMendals: WUSI-13 Lic nscd Coniniewr SWRC B LiLunsud` Hnk TcmLi <br /> 1.iccnwr l yew A, Band Haz J l_It'ensL Ntjmbcr. 944431 <br /> Manufacturer Training <br /> 1+lani,ra cturer C0F11 riie1ii(x) Daw Truinin g Ex ircy. <br /> Franklin Fueling Systems Sump Test System Operation -Inwn Level d 41021753712 IM312028 <br /> Compeaent Nsx Fail Not Repairs Cunxperkrnt Pars Fail NGt kept[" <br /> Temlcd Made � TvIiUA Made. <br /> UDC 23 SAT + F1 _ _F1 -_ UDC 29 SAT _ I�r rJ n <br /> UDC 24 ✓ [ I 1 Q UDC 30 n ❑ 12 <br /> UDC 24 SAT ❑ ❑ ❑ UDC 30 SAT k - ❑ ❑ <br /> UDC 5 87 Product Secondary <br /> UDC 25 SAT q n n D 91 Product Secondary W ❑ fl <br /> UDC 26 ❑ ❑ 71 RV Diesel & 19.20 Secondary [jr C! ❑ ❑ <br /> UDC 26 SAT ig ❑ ❑ D 72 Blodiesel Product Secondary [it - ❑ ❑ <br /> UDC 27 n I1 n 73 BTodlesel Product Secondary W I�1 >•1 <br /> UDC 27 SAT Y ❑ ❑ p T6 Auto Diesei STP Producl Secondary �' Q <br /> UDC 28 :+V. n n ❑ Blo Vacuums Chase Secondary rig - I 1 l.f <br /> UDC 28 SAT ❑ _ ❑ ❑ Diesel Syphons C� - ❑ ❑ <br /> UDC 29 n n = n n <br /> if hydragtatic tesrting wax purfknmcd, &,;rnhL: what was d<snc with ibc water afkc,T wrnpiLt cm of tmts- <br /> Returned to holding tank- _ <br /> CERTI FICATION OF TECRNICIAN RESPONSIBLE FOR CON DUCT[N{; THIS TESTIN(; <br /> To the best axf my Ji;nowWw, the facr?s fratad in this d rrur ent are arerrrate and to full compliance spirh fe al rvequiremenr(S <br /> Technician'sSigniture: w r Date.0812W202 <br />