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TRI -ANNUAL SECONDARY CONTAINMENT TEST <br />TEST DATE: December 9, 2004 <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 />t. FACILITY <br />Name Quik Stop Market #138 <br />Address 1153 Lincoln Blvd., Tracy, CA 95376 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified December 6, 2004 <br />Address 304 E Weber Avenue 3rd Floor, Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Tank Team Fax # 209-468-3433 <br />Inspector Present None <br />1. TESTING CONTRACTOR <br />Name Walton Engineering, Inc. Lic # 617238 A, B, Haz <br />Address P.O. Box 1025, West Sacramento, CA 95691 Phone # 916-373-1152 <br />Contact Michael Walton Fax # 916-373-1172 <br />Test Technician Mike Lawrence <br />5. SUMMARY OF TEST RESULTS <br />Tank Annulars Tested 3 <br />Secondary Lines Tested 3 <br />Containment Sumps Tested <br />UDC's Tested <br />3 <br />2 <br />Component <br />Results <br />Component <br />Results <br />Annular - Tank #1 <br />Gasoline - 87 <br />Pass <br />Piping Sump #1 <br />Gasoline - 87 <br />Pass <br />Annular - Tank #2 <br />Gasoline - 89 <br />Pass <br />Piping Sump #2 <br />Gasoline - 89 <br />Pass <br />Annular - Tank #3 <br />Gasoline - 91 <br />Pass <br />Piping Sump #3 <br />Gasoline - 91 <br />Pass <br />Secondary Line #1 <br />Gasoline - 87 <br />Pass <br />U D C #1 <br />Disp # 1/2 <br />Pass <br />Secondary Line #2 <br />Gasoline - 89 <br />Pass <br />U D C #2 <br />Disp # 3/4 <br />Pails <br />Secondary Line #3 <br />Gasoline - 91 <br />Pass <br />i. COMMENTS <br />Technician Signatur�- 7 Date % <br />© 2004 Walton Engineering, Inc. <br />