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ANNUAL*PILL CONTAINER TE« REPORT <br />TEST DATE: June 17, 2013 <br />A1. 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 />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 />Tank Number <br />Product contained <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 />Gasoline - 87 <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />June 11, 2013 <br />5 <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Elena Manzo <br />OPW <br />Contact <br />Dulcinea Covan <br />Phone # <br />209-468-8257 <br />15.50 <br />Phone # <br />916-373-1166 <br />K. SPILL CONTAINER TEST RESULTS <br />Measuring Equipment Used: Caldwell System 2001 / Walton Engineering (Level Change Indicator) <br />Tank Number <br />Product contained <br />1 <br />2 <br />3 <br />Gasoline - 87 <br />Gasoline - 89 <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 />15.50 <br />15.00 <br />15.50 <br />Is the spill container located in a sump? <br />Yea <br />Yea <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 />14.00 <br />13.50 <br />14.00 <br />11:13 <br />Wait time for water level to stabilize (hr:min) <br />0:05 <br />0:05 <br />0:05 <br />11:43 <br />Test start <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 / Y: Hr.) <br />0.005 <br />0.005 <br />0.005 <br />TEST RESULT <br />PASS <br />PASS <br />PASS <br />L. COMMENTS: <br />Replaced 87 OPW fill cap. <br />W�J _ <br />WALTON <br />Signature: <br />ENGINEERING, INC. <br />Technician: Jessie Wadkins / B35391 5307886 -UT Date: .lune 18, 2013 <br />time <br />10:33 <br />11:13 <br />9:55 <br />Test end time <br />11:03 <br />11:43 <br />10:25 <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 / Y: Hr.) <br />0.005 <br />0.005 <br />0.005 <br />TEST RESULT <br />PASS <br />PASS <br />PASS <br />L. COMMENTS: <br />Replaced 87 OPW fill cap. <br />W�J _ <br />WALTON <br />Signature: <br />ENGINEERING, INC. <br />Technician: Jessie Wadkins / B35391 5307886 -UT Date: .lune 18, 2013 <br />