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t♦ <br />M <br />ANNUAL PILL CONTAINER TEST REPORT <br />TEST DATE: Jul 30, 2015 <br />Ai. FACILITY <br />A2. OWNER <br />Name Quik Stop Market 111144 <br />(tame Quik Stop Markets, Inc. <br />Address 7272 West Latae, Stockton, CA 96210 <br />Address 4667 Enterprise Street, Fremont, CA 94538 <br />Phone # 610457-8600 <br />Phone s 610.6674500 <br />Contact Ro9w Barts <br />Contact Dabble Markovich <br />A3. C U P A <br />A4. TESTING CONTRACTOR <br />Name San Joaquin County Environmental Health <br />Name Walton Engineering, Inc. <br />Address 1868 E. Hatelton Avenue, Stockton, GA 95202 <br />Address P.O. Box 1025, W. Sacramento, CA 96691 <br />NotdW July 14, 2016 <br />Lie a 817238 A, B, Hat <br />Inspector Fatinah Zereef <br />Contact Veronica Fraltaa <br />Phone N 20"0412117 <br />1 Phone 9 916473-'1186 <br />K. SPILL CONTAINER TEST RESULTS <br />Measuring Equipment Used: Lake Test <br />FlUO'Number 1 - 2 3 <br />Product contained i Gsnroline - $7 Gasoline - 89 Gasoline 91 <br />Spill container capacity (US gallort s) 6 5 5 <br />Spill container manufacturer OPW OPW 4PW <br />Spill container depth (Inches) 16.80 14.00 1676 <br />Is the spill container located In a suunp? Yes Yes Yes <br />Dees sump have a liquid sensor Installed? No No No <br />Condition of spill container prior to testing _Dry I Dr Dry <br />Portion of spill container tested Entire Entire Entin <br />; <br />of water level from _._ <br />Depth bottom (inches) 14.00 i i 12.50 14.25 <br />Wait time for water level to stabiike (hr:min) 0:06 ; 0:05 0:05 <br />Test start time 10;45 9:40 9,40 <br />Test end time 11:45 10:40 10:40 <br />Test duration (hr:min) 1:00 1:00 1:00 <br />Change in water level (3 O.000 inches) 0.000 0.000 0.000 <br />PasslFail threshold (0.006 Inches i % Hr.) 0,006 0,006 0.006 <br />- - ._ <br />TEST RESULT PASS PASS PASS <br />L. COMMENTS: <br />_ Replaced the 87 OPW ffil cap. l �M_ tY e►._, <br />- --------------- SER01.2016�___��,� <br />- <br />r •,,, , <br />W"T <br />Signature: IM <br />EN INEEAINfl,INC. <br />Technician: Jessie Wadkkna I 635 6307$U -UT pate: r�Y �i .70ls <br />