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TRI-ENNIAL SECONDARY CONTAINMENT TEST <br /> TEST DATE: September 17, 2013 <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#144 <br /> Address 7272 West Lane, Stockton, CA 95210 Phone# 510-657-8500 <br /> Contact Michael Karvelot <br /> 3. CUPA <br /> Name San Joaquin County Environmental Health Notified September 4, 2013 <br /> Address 1868 E. Hazelton Avenue, Stockton, CA 95202 Phone# 209-468-8257 <br /> Contact Thuy Tran Fax# 209-468-3433 <br /> Inspector Present None <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# 916-373-1166 <br /> Contact Dulcinea Covan Fax# 916-373-1173 <br /> Test Technician Ryan Powell <br /> 5. SUMMARY OF TEST RESULTS <br /> Tank Annulars Tested 3 Containment Sumps Tested 3 <br /> Secondary Lines Tested 3 UDC's Tested 3 <br /> Component Results Component Results <br /> Annular-Tank#1 Gasoline-87 Pass Piping Sump#1 Gasoline-87 Pass <br /> Annular-Tank#2 Gasoline-89 'Pa s8 Piping Sump#2 Gasoline-89 Pass <br /> Annular-Tank#3 Gasoline_91 Pass Piping Sump#3 Gasoline-91 Pass <br /> Secondary Line#1 Gasoline-87 Pass U D C#1 Disp#1/2 page <br /> Secondary Line#2 Gasoline-89 Pass U D C#2 Disp#3/4 Pass <br /> Secondary Line#3 Gasoline-91 Pass U D C#3 Disp#5/6 Pass <br /> 6. COMMENTS <br /> Technician Signature �'-'�� o�,vc� Date September 17, 2013 <br /> 0 2013 Walton Engineering,Inc. <br />