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I <br />1. OWNER INFORMATION <br />Name Quik Stop Markets <br />Address 4567 Enterprise Street, Fremont, CA 94538 Phone # (510) 657-8500 <br />Contact Michael Karvelot <br />2. FACILITY INFORMATION <br />Name Quik Stop #138 <br />Address 1153 Lincoln Blvd., Tracy, CA 95376 Phone # (510) 657-8500 <br />Contact Michael Karvelot <br />3. LOCAL AGENCY INFORMATION <br />Name San Joaquin County Environmental Health Notified <br />Address 304 E. Weber Ave., Stockton, CA 95202 Phone # (209) 468-9847 <br />Contact Tank Team Fax # <br />Inspector Present <br />4. TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. tic#/class 617238 A, B, Haz <br />Contact Michael Walton Phone # (916) 373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 <br />Test Technician James Day <br />5. SUMMARY OF TEST RESULTS <br />Number of Tanks Tested <br />Number of Piping Sumps Tested <br />0 <br />3 <br />Number of Piping Runs Tested <br />Number of UDC Boxes Tested AA®, <br />Component <br />Annular - Tank #1 <br />Gasoline - 87PERMIT/SERVICES <br />Pass Fail <br />Comments ENMRONMEW ME" <br />Annular - Tank #2 <br />Gasoline - 89 <br />Annular - Tank #3 <br />Gasoline - 91 <br />Secondary Pipe #1 <br />Gasoline - 87 <br />Secondary Pipe #2 <br />Gasoline - 89 <br />Secondary Pipe #3 <br />Gasoline - 91 <br />Piping Sump #1 <br />Gasoline - 87 <br />• 1 O <br />This is a retest of these sumps only <br />Piping Sump #2 <br />Gasoline - 89 <br />• O <br />This site was originally tested on April 25, 2002 <br />Piping Sump #3 <br />Gasoline - 91 <br />• O <br />U D C #1 <br />Disp # 1/2 <br />U D C #2 <br />Disp # 3/4 <br />© 2002 Walton Engineering, Inc. <br />Technician Signature <br />Date gym` 2 <br />