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SECONDARY CONTAINMENT TESTING 7R7 : Q"RIV- <br />DATE: APRIL 25, 11; <br />.:........:::: <br />::........... ... ......... .. ....... .............: ............ .:: ......: ..,......:....... .. .::::. .. .:::..... .. <br />.:... .... <br />1. <br />OWNER INFORMATION E" <br />Name Quik Stop Markets <br />Address 4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />(510) 657-8500 <br />Contact Michael Karvelot <br />............................... <br />............. --......... ......:.....................................................:.. <br />, <br />. <br />2. <br />FACILITY INFORMATION <br />Name Quik Stop #138 <br />Address 1153 Lincoln Blvd., Tracy, CA 95376 <br />Phone # <br />(510) 657-8500 <br />Contact Michael Karvelot <br />« <br />3. <br />LOCAL AGENCY INFORMATION <br />Name San Joaquin County Environmental Health <br />Notified <br />March 29, 2002 <br />Address 304 E. Weber Ave., Stockton, CA 95202 <br />Phone # <br />(209) 468-9847 <br />Contact Tank Team <br />Fax # <br />inspector Present <br />.........................-...................:....................................:....................: <br />—.......:....................................................:....:....................... <br />4. <br />TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. <br />Lie#/class <br />617238 A, B, Haz <br />Contact Michael Walton <br />Phone # <br />(916) 373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 <br />Test Technician David D eSS <br />.......... <br />.............................. <br />..:........ ....... ......................... .................................. ........... ............................. ...... .................................................. .................. <br />. <br />5. <br />SUMMARY OF TEST RESULTS <br />Number of Tanks Tested 3 Number of Piping Runs Tested <br />3 <br />Number of Piping Sumps Tested 3 Number of UDC Boxes Tested <br />2 <br />Component Pass Fail <br />Comments <br />Annular - Tank #1 Gasoline - 87 • O <br />Annular - Tank #2 Gasoline - 89 • O <br />Annular - Tank #3 Gasoline -91 • O <br />Secondary Pipe #1 Gasoline - 87 • O <br />Secondary Pipe #2 Gasoline -89 • O <br />Secondary Pipe #3 Gasoline -91 • O <br />Piping Sump #1 Gasoline - 87 • O <br />Piping Sump #2 Gasoline - 89 O • <br />Piping Sump #3 Gasoline - 91 O • <br />U D C #1 Disp # 1/2 • O <br />U D C #2 Disp # 3/4 • O <br />... .. .. ...:......:. - _.. <br />© 2002 Walton Engineering, Inc. <br />Technician Signature <br />Date <br />C1 PB <br />