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R E Cs <br />SPECIAL SECONDARY CONTAINMENT TESTtt, °�; j 2017 <br />TEST DATE: June 19, 2017 <br />l « _ <br />1. OWNER ✓ <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Debbie Markovich <br />2. FACILITY <br />Name Quik Stop Market # 39 <br />Address 2285 E. Fremont Street, Stockton, CA 95205 Phone # 510-657-8500 <br />Contact Roger Batra <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified 0 <br />Address 1868 E. Hazelton Avenue, Stockton, CA 95202 Phone # 209-468-3442 <br />Contact UST Team Fax # 209-468-3433 <br />Inspector Present Victoria McCartney <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 Veronica Freitas Fax # 916-373-1173 <br />Test Technician Juan Jauregui <br />5. SUMMARY OF TEST RESULTS <br />Tank Annulars Tested 0 Containment Sumps Tested 0 <br />Secondary Lines Tested 0 UDC's Tested 2 <br />Component Results <br />Component Results <br />UDC #2 Disp # 3/4 Pass <br />-.--- <br />U D C #2 Disp # 3/4 Pass <br />COMMENTS <br />Technician Signature \_ ' Date June 19, 2017 <br />0 2016 Walton Engineering, Inc. <br />