Laserfiche WebLink
SPILL CONTAINER TEST REPORT <br />TEST t; • 2009 <br />1. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />2. FACILITY <br />Caldwell System 2001 / Watton engineering <br />(Levet unange inaicator) <br />Descrieflon <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Name <br />Quik Stop Market #148 <br />Tank <br />Gasolene 91 <br />5 <br />OPW <br />Spill container depth (inches) <br />Address <br />205 W. Lockeford Street Lodi, CA 95240 <br />Phone # <br />510-657-8500 <br />Contact <br />Michael Karvelot <br />Yes <br />Does sump have a liquid sensor installed? <br />Condition of spill container prior to testing <br />Portion of s ill container tested <br />No <br />Dry <br />Entire <br />No <br />Dry <br />Entire <br />No <br />Dry _ <br />Entire <br />3. CUPA <br />Name <br />San Joaquin County Environmental Health <br />Notified <br />August 19, 2009 <br />Address <br />600 E. Main Street Stockton, CA 95202 <br />Phone # <br />209468-3439 <br />Contact <br />Aris Cacapit <br />Fax # <br />209468-3433 <br />Inspector Present <br />Aris Caca it <br />4. TESTING CONTRACTOR <br />Name <br />Walton Engineering, Inc. <br />Lic# <br />617238 A, B, Haz <br />Address <br />P.O. Box 1025, West Sacramento, CA 95691 <br />Phone # <br />916-373-1152 <br />Contact <br />Michael Walton <br />Fax # <br />916-373-1172 <br />Test Technician <br />Jessie Wadkins <br />Measuring Equipment Used: <br />Caldwell System 2001 / Watton engineering <br />(Levet unange inaicator) <br />Descrieflon <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Tank #1 <br />Gasoline - 87 <br />5 <br />OPW <br />Tank #2 <br />Gasoline - 89 <br />5 <br />OPW <br />Tank <br />Gasolene 91 <br />5 <br />OPW <br />Spill container depth (inches) <br />14.00 <br />13.00 <br />14.00 <br />Is the spill container located in a sump? <br />Yes <br />Yes <br />Yes <br />Does sump have a liquid sensor installed? <br />Condition of spill container prior to testing <br />Portion of s ill container tested <br />No <br />Dry <br />Entire <br />No <br />Dry <br />Entire <br />No <br />Dry _ <br />Entire <br />Depth of water level from bottom (inches) <br />Wait time for water level to stabilize (hrmin) <br />12.50 <br />0:10 <br />Test start time <br />9:55 AM <br />Test end time <br />10:25 AM <br />Test duration (hrmin) <br />Change in water level (t 0.000 inches) <br />0:30 <br />0.000 <br />Pass/Fail threshold (0.005 inches /'� Hr.) <br />0.005 <br />TEST �vRESULT <br />PASS <br />RO0 <br />Technician Signature d W- Date August 21, 2009 <br />