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s <br /> SECONDARY CONTAINMENT TESTING PORTF, <br /> TESTING DATE: APRIL 22, 2002 <br /> »:. .. _..:: ...:.... .::: ...._ :: _. .. <br /> 1. OWNER INFORMATION <br /> Name Quik Stop Markets <br /> Contact Michael Karvelot Phone# (510) 657-8500 <br /> Address 4567 Enterprise Street, Fremont, CA 94538 <br /> ::.::::.....:.:::::: ..:....:::::: ......:.:.::: ...:.:::::.:-..............::::::..:......:..:::: ....:..:..::.::.......:....,. _......_... _....__....... . ..........:,:.;: <br /> ....... ............ ..... ............ <br /> 2. FACILITY INFORMATION <br /> Name Quik Stop#124 <br /> Contact Michael Karvelot Phone# (510) 657-8500 <br /> Address 505 N. Main, Manteca, CA 95336 <br /> ...... ....:........._......._--.::...... ....:....::::::::..._......._................. :..........:::::::..._......::........... ...... <br /> 3. LOCAL AGENCY INFORMATION <br /> Name San Joaquin County Environmental Health Notified March 29, 2002 <br /> Contact Tank Team Phone# (209) 468-9847 <br /> Address 304 E. Weber Ave., Stockton, CA 95202 Fax# (209) 468-3433 <br /> inspector Present <br /> ......... :..:..........:.::.:::::.:....:: . .. .. . ........ :... . ::::..,.........:::::::::..-... :::::::.,,........ ......... ........ .. <br /> 4. TESTING CONTRACTOR INFORMATION <br /> Name Walton Engineering, Inc. Lie#/Class 617238 A, B, Haz <br /> Contact Michael Walton Phone# (916) 373-1152 <br /> Address P.O. Box 1025, West Sacramento, CA 95691 <br /> Test Technician David D ess <br /> _... ............. :._...........::::.::......_..::::............ ._.................:................:::::::.:.......:::.........._..................:.::::::.:_:.................... .......... <br /> 5. SUMMARY OF TEST RESULTS <br /> Number of Tanks Tested 3 Number of Piping Runs Tested 3 <br /> Number of Piping Sumps Tested 3 Number of UDC Boxes Tested 2 <br /> Component Pass Fail Comments <br /> Annular-Tank#1 Gasoline-89 • O <br /> Annular-Tank#2 Gasoline-87 • O <br /> Annular-Tank#3 Gasoline-91 • O <br /> Secondary Pipe#1 Gasoline-89 • O <br /> Secondary Pipe#2 Gasoline-87 • O <br /> Secondary Pipe#3 Gasoline-91 • O <br /> Piping Sump#1 Gasoline-89 • O <br /> Piping Sump#2 Gasoline-87 • O <br /> Piping Sump#3 Gasoline-91 • O <br /> U D C#1 Disp#1/2 • O <br /> U D C#2 Disp#3/4 • O <br /> .::::::::::::::..:.::::::::::: .. :.:::: . . ..:.:....................................---...... .. <br /> © 2002 Walton Engineering,Inc. <br /> r <br /> Technician Signature Date �� <br />