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ANNUA@BPILL CONTAINER T+T REPORT <br />Al. FACILITY <br />Name Quik Stop Market #124 <br />Address 505 N. Main Street, Manteca, CA 95336 <br />Phone # 510-657-8500 <br />Contact Michael Karvelot <br />TEST DATE: June 18, 2007 <br />A2. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street, Fremont, CA 94538 <br />Phone # 510-657-8500 <br />Contact Michael Karvelot <br />A3. C U P A <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />Tank Number <br />Name <br />Walton Engineering, Inc. <br />Address <br />600 E. Main Street, Stockton, CA 95202 <br />Product contained <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />June 12, 2007 <br />Spill container capacity (US gallons) <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Michelle Henry <br />Spill container manufacturer <br />Contact <br />Richard Walton <br />Phone # <br />209-468-3439 <br />Spill container depth (inches) <br />Phone # <br />916-825-3203 <br />K. SPILL CONTAINER TEST RESULTS <br />RA—i Irinn Gniiinmcnr I Icon C%/ctem 9nn1 / Waltnn Fnaineerina (Level Chanae Indicator) <br />L. COMMENTS: <br />Replaced the adaptor gasket on the 87 fill. OPW #H09039M Swivel adaptor gasket <br />Replaced the fill cap on the 87 and the 91 tanks. <br />, <br />/ WALTON_ <br />Signature: kon ENGINEERING, INC. V <br />E <br />Technician: Bruce N. Stewart I A31131 5249892 -UT Date: 'June I8, 2007 <br />Tank Number <br />1 <br />2 <br />3 <br />Product contained <br />Gasoline - 89 <br />Gasoline - 87 <br />Gasoline - 91 <br />Spill container capacity (US gallons) <br />5 <br />5 <br />5 <br />Spill container manufacturer <br />OPW <br />OPW <br />OPW <br />Spill container depth (inches) <br />14.00 <br />15.50 <br />15.00 <br />Is the spill container located in a sump? <br />Yes <br />Yes <br />Yes <br />Does sump have a liquid sensor installed? <br />No <br />No <br />No <br />Condition of spill container prior to testing <br />Dry <br />Dry <br />Dry <br />Portion of spill container tested <br />Entire <br />Entire <br />Entire <br />12.50 <br />13.50 <br />14.00 <br />Depth of water level from bottom (inches) <br />Wait time for water level to stabilize (hr:min) <br />0:10 <br />0:10 <br />0:10 <br />Test start time <br />10:33 <br />9:52 <br />9:25 <br />Test end time <br />11:03 <br />10:22 <br />9:55 <br />Test duration (hr:min) <br />0:30 <br />0:30 <br />0:30 <br />Change in water level (t 0.000 inches) <br />0.250 <br />0.000 <br />0.000 <br />Pass/Fail threshold (0.005 inches /'/z Hr.) <br />0.005 <br />0.005 <br />0.005 <br />TEST RESULT <br />FAIL <br />PASS <br />PASS <br />L. COMMENTS: <br />Replaced the adaptor gasket on the 87 fill. OPW #H09039M Swivel adaptor gasket <br />Replaced the fill cap on the 87 and the 91 tanks. <br />, <br />/ WALTON_ <br />Signature: kon ENGINEERING, INC. V <br />E <br />Technician: Bruce N. Stewart I A31131 5249892 -UT Date: 'June I8, 2007 <br />