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ANNUALf PILL CONTAINER TES <br />TEST DATE: June 20, 2014 JUN 2 4 2014 <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 Roger Batra <br />A2. OWNER <br />Name Quik Stop MaQW,11 QNMENTAL HEALTH <br />Address 4567 Enterprise Street, Fj*F0kR'f j'$R"T <br />Phone # 510-657-8500 <br />Contact Debbie Markovich <br />A3. C U P A <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />Name <br />Walton Engineering, Inc. <br />Address <br />1868 E. Hazelton Avenue, Stockton, CA 95202 <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />June 17, 2014 <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Elena Manzo <br />Contact <br />Dulcinea Covan <br />Phone # <br />209-468-8257 <br />Phone # <br />916-373-1166 <br />K. SPILL CONTAINER TEST RESULTS <br />usea: calaweii <br />Tank Number <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Spill container depth (inches) <br />Is the spill container located in a sump? <br />Does sump have a liquid sensor installed? <br />Condition of spill container prior to testing <br />Portion of spill container tested <br />Depth of water level from bottom (inches <br />Wait time for water level to stabilize (hr:i <br />Test start time <br />Test end time <br />Test duration (hr:min) <br />Change in water level (t 0.000 inches) <br />Pass/Fail threshold (0.005 inches / % Hr. <br />TEST RESULT <br />L. COMMENTS: <br />Replaced the 89 OPW Fill cap. <br />1 <br />Gasoline - 87 <br />5 <br />OPW <br />14.00 <br />Yes <br />No <br />Dry <br />Entire <br />12.50 <br />0:05 <br />9:21 <br />10:21 <br />1:00 <br />_0.000 <br />0.005 <br />PASS <br />ZUU1 / Walton <br />2 <br />Gasoline - 89 <br />5 <br />OPW <br />14.00 <br />Yes <br />No <br />Dry_ <br />Entire <br />12.50 <br />0:05 <br />10:35 <br />11:35 <br />1:00 <br />0.000 <br />0.005 <br />PASS <br />Change Indicator) <br />3 <br />Gasoline - 91 <br />5 <br />OPW <br />14.00 <br />Yes <br />No <br />Dry <br />Entire <br />12.50 <br />0:05 <br />— 9:21 <br />10:21 <br />1:00 <br />0.000 <br />0.005 <br />PASS <br />( V 1 // � /, / // U// WALTON <br />Signature: ���--- iWWWW+,,, "���`^^���CCC <br />ENGINEERING, INC. <br />Technician: Chris Kuykendall / B42243 8161927 Date: June 20, 2014 <br />