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L <br />ANNUAL PILL CONTAINER TEsT REPORT <br />TEST DATE: June 27, 2005 <br />1. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />2. FACILITY <br />Name Quik Stop Market #124 <br />Address 505 N. Main Street Manteca, CA 95336 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified June 13, 2005 <br />Address 304 E Weber Avenue 3rd Floor Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Ray Von Flue Fax # 209-468-3433 <br />Inspector Present Ray Von Flue <br />4. TESTING CONTRACTOR <br />Name Walton Engineering, Inc. Lic # 617238 A, B, Haz <br />Address P.O. Box 1025, West Sacramento, CA 95691 Phone # 916-373-1152 <br />Contact Michael Walton Fax # 916-373-1172 <br />Test Technician Phillip Klin man <br />5. TEST RESULTS <br />usea: uaiaweu system zuu-i i vvanon tngmeenng kLevei Lnange inaicamr) <br />uescrlptlon <br />I anK FF1 <br />I anK FPL <br />I anK 83 <br />Product contained <br />Gasoline - 89 <br />Gasoline -87 <br />Gasoline - 91 <br />Spill container capacity (US gallons) <br />5 Gallons <br />5 Gallons <br />5 Gallons <br />Spill container manufacturer <br />OPW <br />OPW <br />OPW <br />Spill container depth (inches) <br />14.50 <br />15.25 <br />14.50 <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 />Depth of water level from bottom (inches) <br />14.25 <br />15.00 <br />14.00 <br />Wait time for water level to stabilize (hr:min) <br />0:05 <br />0:04 <br />0:05 <br />Test start time <br />11:00 AM <br />11:10 AM <br />11:15 AM <br />Test end time <br />11:30 AM <br />11:40 AM <br />11:45 AM <br />Test duration (hr:min) <br />0:30 <br />0:30 <br />0:30 <br />Change in water level (t 0.000 inches) <br />0.000 <br />0.000 <br />0.000 <br />Pass/Fail threshold (0.005 inches /'Y2 Hr.) <br />0.005 <br />0.005 <br />0.005 <br />TEST RESULT <br />PASS <br />PASS <br />PASS <br />6. COMMENTS <br />20( <br />Technician Signatur .--/- Date.-� j <br />