Laserfiche WebLink
SECONDARY CONTAINMENT (SB989) TEST NOTES for Quik Stop Market #138 <br />1153 Lincoln Blvd., Tracy, CA 95376 <br />Job # <br />31020-138 (Do NOT Guess) <br />Facility # <br />31020-138 (Do NOT Guess - Use Database) Quik Stop Markets, Inc. <br />Test Date <br />December 15, 2008 (Enter as: Month xx, 200x) 9:00 a.m. (Enter as: x:xx a.m. / p.m.) <br />Notification Date <br />December 15, 2008 (Enter as: Month xx, 200x) (PO #) <br />CUPA # <br />110 (Do NOT Guess - Use Database) San Joaquin County Environmental Health <br />CUPA Contact Name <br />(Enter only if "turquoise" is WRONG!) Muniappa Naidu <br />Inspector Present <br />NONE (Enter Inspector Name [INCLUDE BUSINESS CARD] or enter None) <br />Test Technician <br />Gerardo Guzman Jr. <br />Test Type (For Summary) <br />RETEST (ALL CAPS! Enter: TRI -ANNUAL, POST -CONSTRUCTION, SPECIAL, or SURVEY) <br />Test Reason (For Notice) <br />(Enter reason for test: ONLY IF TEST TYPE IS "SPECIAL") <br />Type of Hydrostatic Tester Used: (Place an X in the appropriate box) <br />INCON TS -STS (Electronic Sump Test System) <br />THIS REPORT IS ONLY FOR THE INCON TEST SYSTEM <br />Scope of Work: List scope of work (if not self explanatory) and any other work to be performed. <br />Test Notes: Comment on any site or test conditions that will further the understanding of this facility. <br />List AND photograph any drums left on the site. <br />The secondary clam shell was removed from secondary. New secondary boot was installed and retested. <br />Farts Replaced: Enter the part number and quantity. The description is automatic. The parts page completes automatically. <br />Part # Quantity Description <br />No Parts Used <br />Accuracy, spelling, grammar, punctuation, capitalization, consistency, and completeness are important! <br />