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ANNUAL'SPILL CONTAINER TEST RE RTS 4 <br />711 <br />_' <br />_. s <br />TEST DATE: <br />2017 <br />A1. FACILITY <br />A2. OWNER <br />Name <br />Quik Stop Market #121 <br />Name <br />Quik Stop Markets, Inc. <br />Address <br />1196 W. Louise Avenue, Manteca, CA 95336 <br />Yes <br />Address <br />4567 Enterprise StreetHWOR0 $iia i t`i-M f1 f� <br />1 <br />Phone # <br />510-657-8500 <br />Entire <br />Phone # <br />510-657-8500 t AR -1 -ENT <br />Contact <br />Roger Batra <br />Contact <br />Debbie Markovich <br />A3. C U P A <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />Name <br />Walton Engineering, Inc. <br />Address <br />1868 E. Hazelton Avenue, Stockton, CA 95202 <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />May 10, 2017 <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Aaron Hang <br />Contact <br />Veronica Freitas <br />Phone # <br />209-468-3442 <br />Phone # <br />916-373-1166 <br />K. SPILL CONTAINER TEST RESULTS <br />Tank Number <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Spill container depth (inches) <br />Is the spill container located in a sump? <br />Does sump have a liquid sensor installed? <br />Condition of spill container prior to testing <br />Portion of spill container tested <br />measun <br />1 <br />Gasoline - 87 <br />5 <br />OPW <br />13.00 <br />Yes <br />No <br />Dry <br />Entire <br />usea: LaKe lest <br />2 <br />Gasoline - 91 <br />5 <br />OPW <br />13.00 <br />Yes <br />No <br />Dry <br />Entire <br />WALTON <br />Signature: A <br />ENGINEERING, INC. <br />Technician: Anthony Reyes 845115 8293772 Date: May 25, 2017 <br />