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- RT; SECONDARY CONTAINMENT TESTING REP0..,, ,,1-.,.FORM 0? TESTING DATE: APRIL 5, 2002 4P ............................... ....... ...... .........................................................-.... ...... ................. .......... ............. .......... .................. ........ ................... ........ ............... ........ ................-.................. ............... ......-...................................-....................---........ 7V - ---7. ............ .....................-...... ......--............. ................................................ ..................... .. ... ............................... ............................................................................... ...................... ......... ........ ...-........ ..... ...... 1. OWNER INFORMATION ..... ...... ..... ...... ..... ...... Name Quik Stop Markets ..... ..... ..... ..... -85 Contact Michael Karvelot Phone# (510) 00 ..... ..... ..... ..... ..... ..... Address 4567 Enterprise Street, Fremont, CA 94538 ................ ...... .................. ....... ...................... ............-... ............... ................. .................. ... .......... ................ ....................... .................. ................. ............ ............ ................ ...... ...... ................ .................... ..... ..... ..... ..... ..... ..... ..... FACILITY INFORMATION ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... Name Quik Stop#121 ..... ..... -8500 Contact Michael Karvelot Phone# (510) 657 ..... ..... ..... ..... Address 1196 W. Louise Ave., Manteca, CA 95336 ............-.1-....--............................-................................................... ....... ........... ......... ........... ............................................................................ .................... .................... ................................................................................................................... ............................. ........ ..........................-......... .......................... ................................................ ................................... ....... ................................... ...................... ................................ ...... .......................... ..... ..... 3. LOCAL AGENCY INFORMATION ..... ..... Name San Joaquin County Environmental Health Notified March 29, 2002 Contact Tank Team Phone# (209) 468-9847 Address 304 E. Weber Ave., Stockton, CA 95202 Fax# (209) 468-34 33 Inspector Present ............... .......................................................................... .............................. ........................................ .................................. ....... ...... ............................................................................................................................................ ..............................................--.......... ................................I...........................I.....................11.......................................................----............I............... ................... ............ ..................................... ....................... .............................. .......................................................................... .............. .................................. ............................................. ........................ 4. TESTING CONTRACTOR INFORMATION ..... ..... Name Walton Engineering, Inc. Lic#/Class 617238 A, B, Haz ..... ..... Contact Michael Walton Phone# (916) 373-1152 Address P.O. Box 1025, West Sacramento, CA 95691 ..... ..... Test Technician David Dyess ....................................... .............----......... ....................-.....................................................-... ......... .................. ............................... ....................... ............................................................ ........... ...........................-..................... ..... ..... 5. SUMMARY OF TEST RESULTS ..... ..... ..... ..... ..... ..... ..... ..... Number of Tanks Tested 0 Number of Piping Runs Tested 2 ..... ..... ..... ..... Number of Piping Sumps Tested 2 Number of UDC Boxes Tested 3 Component Pass Fail Comments Tank#1 -87 Brine filled annulars Annular Gasoline N/A Annular-Tank#2 Gasoline-91 Secondary Pipe#1 Gasoline-87 0 0 Secondary Pipe#2 Gasoline-91 0 0 .... ....... Piping Sump#1 Gasoline-87 0 0 Piping Sump#2 Gasoline-91 0 0 ..... ..... ..... ..... ..... ..... U D C#1 Disp#1/2 0 0 ..... ..... U D C#2 Disp#3/4 0 0 ..... ..... U D C#3 Disp#5/6 0 0 ..... ..... ...................... ................... ....... ...... ......... ....... .................. ............ ...... ...... .........-...... ........ a ............................................................................ ....-........ .............................................. .................................................. ...................................—... .............. ................----...............---- I--.......... -............---........................... ............. .......................................................... ............................. ........................................ .............. .................... lt2ttt*'*Walton******Engineering,* * Inc. Technician Signature Date Z�-