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TRI -ANNUAL SECONDARY CONTAINMENT TEST <br />TEST DATE: November 4, 2010 <br />I. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />L FACILITY <br />Name Quik Stop Market # 39 <br />Address 2285 E. Fremont Street, Stockton, CA 95205 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified October 28, 2010 <br />Address 600 E. Main Street, Stockton, CA 95202 Phone # 209-468-8257 <br />Contact Thuy Tran Fax # 209-468-3433 <br />Inspector Present None <br />t. 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 Gerardo Guzman <br />5. SUMMARY OF TEST RESULTS <br />Tank Annulars Tested 0 <br />Secondary Lines Tested 2 <br />Containment Sumps Tested 2 <br />UDC's Tested 2 <br />Component <br />Results <br />Component <br />Results <br />Annular - Tank #1 Gasoline - 87 <br />Piping Sump #1 <br />Gasoline - 87 <br />Pass <br />Annular - Tank #2 Gasoline - 91 <br />Piping Sump #2 <br />Gasoline - 91 <br />Pass <br />Secondary Line #1 Gasoline - 87 <br />Pass <br />U D C #1 <br />Disp # 1/2 <br />Pass <br />Secondary Line #2 Gasoline - 91 <br />Pass <br />U D C #2 <br />Disp # 3/4 <br />Pass <br />i. COMMENTS <br />These tanks have brine filled annulars. Vacuum testing is not required. <br />Technician Signature Date November 4, 2010 <br />0 2010 Walton Engineering, Inc. <br />