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02/lb/21Jltl V8:1b ylbd/J11/d WAL I UNLIW 11VCtR I INU r"UG U <br /> TRI-ANNUAL SECONDARY CONTAINMENT TEST <br /> TEST DATE: August 12, 2008 <br /> 1. OWNER <br /> Name Shawn Corporation <br /> Address 5000 E. Second Street, Ste G, Benicia, CA 94510 Phone 0 707-747-2955 <br /> Contact Yason All <br /> Z. FACILITY <br /> Name Fast& Easy Mart#60 -Chevron <br /> Address 10878 N. Highway 99. Stockton, CA 95212 Phone# 209-931-6154 <br /> Contact Naz <br /> 3. CUPA <br /> Name San Joaquin County Environmental Health <br /> Notified August 1, 2008 <br /> Address 600 E.Main Street,Stockton, CA 95202 Phone# 209-468-3439 <br /> Contact Muniappa Naidu Fax# 2094168-3433 <br /> Ins ctor Present None <br /> 4. TESTING CONTRACTOR <br /> Name Walton Engineering,Inc. Lic# 817238 q, B, Haz <br /> Address P.O. Box 1025, West Sacramento, CA 95691 Phone# 916-373-1152 <br /> Contact Michael Walton <br /> Fax 916.373-1172 <br /> Test Technician Ran Powell <br /> 5. SUMMARY OF TEST RESULTS <br /> Tank Annulars Tasted _ 4 _ Containment Sumps Tested 4 <br /> Secondary Lines Tested 4 UDC's Tested 4 <br /> Component Results Component Results <br /> Annular-Tank#1 Gasoline-91 Pass Piping Sump#1 Gasoline-91 Pass <br /> nnu er-Tank#2 Gasoline-B9 Pass Piping Sump#2 Gasoline-a9 Pass <br /> ''. Annular-Tank#3 Gasoline-87 Pass Piping Sump 03 Gasoline-87 _ Pass <br /> Annular-'Tank 94 Diesel_ Pass Piping Sump#4 _ Diesel Pass <br /> Secondary Line#1 Gasoline-91 Pass UDC#1 Disp#1/2 Pass <br /> Seconds Line#2 Gasoline-69 Pass U D C 02Disp#314 Pass <br /> Secondary Lone#3 Gasoline-87 Pass U D C#3 Disp It 516 <br /> SecondaryLlne#4 Diesel Pass U 0 c#4 olsp#7r8 Pass <br /> 6. COMMENTS <br /> Technician Signature Date August 12, 2008 <br /> 2006 Waaon Englneering,Inc. <br />