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SPECIAL SECONDARY CONTAINMENT TE_9'r ` o <br />TEST DATE: December 9, 2013 DEC 17 2013 <br />1. OWNER HEALTH DEPARTMENT <br />Name Pacific Convenience and Fuels, LLC <br />Address 7108 Koll Center Pkwy, Ste 100, Pleasanton, CA 94566 Phone # 925-884-0827 <br />Contact Tony Grossi <br />2. FACILITY <br />Name CRLLC #2705446 <br />Address 1403 Country Club Blvd., Stockton, CA 95204 Phone # 209-943-2082 <br />Contact Byron Foy <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified November 27, 2013 <br />Address 1868 E. Hazelton Avenue, Stockton, CA 95202 Phone # 209-468-8257 <br />Contact Garrett Backus Fax # 209-468-3433 <br />Inspector Present Garrett Backus <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 Michael Hills <br />5. SUMMARY OF TEST RESULTS <br />Tank Annulars Tested 0 <br />Secondary Lines Tested 1 <br />Containment Sumps Tested 0 <br />UDC's Tested 0 <br />Component <br />Results <br />Component Results <br />Annular - Tank #1 Diesel <br />Piping Sump #1 <br />Piping Sump #2 <br />Diesel <br />- 87 <br />Annular - Tank #2 Gasoline_- 87_ <br />Annular - Tank #3 Gasoline - 91 <br />Piping Sump #3 <br />___Gasoline <br />Gasoline - 91 <br />Secondary Line #1 Diesel <br />U D C #1 <br />Disp # 1/2 <br />Secondary Line #2 Gasoline - 87 <br />Pass <br />U D C #2 <br />Disp # 3/4 <br />Secondary Line #3 Gasoline - 91 <br />U D C #3 <br />Disp # 5/6 <br />U D C #4 <br />Disp # 7/8 <br />COMMENTS <br />This is a retest of the 87 secondary line only. <br />Technician Signature FTY c_C ho_j h S1S Date December 9, 2013 <br />I <br />0 2013 Walton Engineering, Inc. <br />