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2013 FMC RESULTS
LINE TEST 11000 N. MoPac Expressway, Suite 500 Austin, Texas 78759 Phone: (512) 451-6334 Fax: (512) 459-1459 Date Printed and Mailed: 11/27/2013 BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES INSPECTOR ERNIE MEDINA 1501 TRUXTUN AVE. BAKERSFIELD, CA 93301 Test Date: 11/21/2013 Order Number: 3416430 Dear Regulator, Enclosed are the results of recent testing performed at the following facility: SAM'S CLUB # 4819 (SC4819) 5625 GOSFORD ROAD BAKERSFIELD, CA 93313 Testing performed: Sincerely, Dawn Kohlmeyer Manager, Field Reporting Product Line Tightness Test Page 1 of 1 Work Order: 3416430 Date: 11/21/2013 Site Name/ID: SAM'S CLUB # 4819 / SC4819 Address: 5625 GOSFORD ROAD City: BAKERSFIELD State: CA Zip: 93313 Tank Information Test Method Customer Tank ID Product Name Delivery Type Test Pressure Test Start Time Test End Time Final Leak Rate Test Result(P/F/I) Test was performed per 3rd party certifications as specified in 40 CFR parts 280 and 281 Tank # 1 Line # 1 TLD-1 87 NORTH REG UNLEAD Pressure 50 13:16 13:46 0.00 Pass Yes Tank # 2 Line # 1 TLD-1 87 SOUTH REG UNLEAD Pressure 50 14:06 14:36 0.00 Pass Yes Tank # 3 Line # 1 TLD-1 T3: 91 PREMIUM Pressure 50 13:16 13:46 0.00 Pass Yes Tank # 4 Line # 1 TLD-1 DIESEL DIESEL2 Pressure 50 14:06 14:36 0.00 Pass Yes Tank # Line # Tank # Line # Technician Comments: Truck 1312. Technician Name:Steve Gallardo Certification #:85242 exp: 2/8/2015 Technician Signature: Environmental Compliance for Petroleum Systems ©2013 Tanknology Inc., Austin, TX. All rights reserved. tanknology.com Site Diagram (This site diagram is for reference only and is not drawn to scale) Work Order:3416430 Site ID / Name:SC4819 / SAM'S CLUB # 4819 Address:5625 GOSFORD ROAD City:BAKERSFIELD State:CA Zip:93313