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Home My WebLink About2021 FMC (SPILL BUCKETS) Appendix VIII Underground Storage Tank Spill Container Testing Report Form CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council Page 1 of 2 TYPE OF ACTION ☐ Installation ☐ Repair X 12 Month 1. FACILITY INFORMATION CERS ID 10130596 Test Date 8/31/2021 Facility Name Wilson Mobil Facility Address 3620 Wilson Rd City Bakersfield ZIP Code 93309 2. SERVICE TECHNICIAN INFORMATION Company Performing the Test Advanced Compliance Phone 6617064321 Mailing Address 4007 Brae Burn Dr Bakersfield Ca 93306 Service Technician Performing Test Bradley Hinsley Contractor/Tank Tester License Number 971259 ICC Number 8373948 ICC Expiration Date 8/31/2021 3. TRAINING AND CERTIFICATIONS Manufacturer and Test Equipment Training Certifications Expiration Date ICC Service Techican 8/9/2023 4. TEST PROCEDURE INFORMATION Test Procedures Used Components Tested Industry Standard Spill Buckets 5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST I hereby certify that each spill container was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.1; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority. Service Technician Signature Date 8/31/2021 Total # of Pages Underground Storage Tank Spill Container Testing Report Form Additional copies of this page may be attached. Page 2 of 2 6. SPILL CONTAINER DETAILS Test Method Developed by ☐ Manufacturer X Industry Standard ☐ Professional Engineer Test Type ☐ Pressure ☐ Vacuum X Hydrostatic Tank ID 87 Diesel Spill Container Manufacturer: Phil-Tite Phil-Tite Method of Cathodic Protection ☐ Nonmetallic X Other ☐ Nonmetallic X Other ☐ Nonmetallic ☐ Other ☐ Nonmetallic ☐ Other Is the spill container minimum capacity five gallons excluding riser volume? X Yes ☐ No* X Yes ☐ No* ☐Yes ☐ No* ☐ Yes ☐ No* Method to keep spill container empty X Drain ☐ Pump ☐ Other X Drain ☐ Pump ☐ Other ☐ Drain ☐ Pump ☐ Other ☐ Drain ☐ Pump ☐ Other Spill Container Test Results X Pass ☐ Fail X Pass ☐ Fail ☐ Pass ☐Fail ☐ Pass ☐ Fail Tank ID Spill Container Manufacturer: Method of Cathodic Protection ☐ Nonmetallic ☐ Other ☐ Nonmetallic ☐ Other ☐ Nonmetallic ☐ Other ☐ Nonmetallic ☐ Other Is the spill container minimum capacity five gallons excluding riser volume? ☐ Yes ☐ No* ☐ Yes ☐ No* ☐ Yes ☐ No* ☐ Yes ☐ No* Method to keep spill container empty ☐ Drain ☐ Pump ☐ Other ☐ Drain ☐ Pump ☐ Other ☐ Drain ☐ Pump ☐ Other ☐ Drain ☐ Pump ☐ Other Spill Container Test Results ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail ☐ Pass ☐ Fail 1 8. COMMENTS Describe all answers marked “Other,” “No,” or “Fail” and each proposed remedy. Other cathodic protection method is isolation * Mark here if: Spill containers do not have a minimum capacity of five gallons and require replacement.