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ANNUAL WILL CONTAINER TEff REPORT <br />TEST DATE: August 5, 2011 <br />k1. FACILITY <br />Name Quik Stop Market #148 <br />Address 205 W. Lockeford Street, Lodi, CA 95240 <br />Phone # 510-657-8500 <br />Contact Michael Karvelot <br />A2. OWNER <br />Name <br />Quik Stop Markets, Inc. <br />Address <br />4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />510-657-8500 <br />Contact <br />Michael Karvelot <br />A3. C U P A <br />3 <br />2 <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />5 <br />Name <br />Walton Engineering, Inc. <br />Address <br />600 E. Main Street, Stockton, CA 95202 <br />Yes <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />August 2, 2011 <br />Dry <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Aris Cacapit <br />Contact <br />Dulcinea Covan <br />Phone # <br />209-468-8257 <br />Phone # <br />916-373-1166 <br />K. SPILL CONTAINER TEST RESULTS <br />Measu <br />ent Used: Caldwell System 20C <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 />Depth of water level from bottom (inches) <br />Wait time for water level to stabilize (hr:min) <br />Test start time <br />Test end time <br />Test duration (hr:min) <br />Change in water level (± 0.000 inches) <br />Pass/Fail threshold (0.005 inches /'/: Hr.) <br />TEST RESULT <br />L. COMMENTS: <br />Replaced the SC on the 87 tank. <br />Replaced the swivell adaptor on the 87 tank. <br />Replaced the cap on the 87 fill. <br />1 <br />Gasoline - 87 <br />5 <br />OPW <br />14.00 <br />Yes <br />No <br />Dry <br />Entire <br />11.50 <br />0:10 <br />10:05 <br />10:35 <br />0:30 <br />0.002 <br />0.005 <br />PASS <br />12.50 <br />0:10 <br />9:15 <br />9:45 <br />0:30 <br />0.001 <br />0.005 <br />PASS <br />ator) <br />WALTON, <br />Signature: 9 ""���' (/� NGINEERING. INC. <br />Technician: Curtis Carpenter / B37258 8020679 Date: AZlg'ust S, 2011 <br />3 <br />2 <br />Gasoline - 89 <br />Gasoline - 91 <br />5 <br />5 <br />OPW <br />OPW <br />13.00 <br />14.00 <br />Yes <br />Yes <br />No <br />No <br />Dry <br />Dry <br />Entire <br />Entire <br />11.50 <br />0:10 <br />10:05 <br />10:35 <br />0:30 <br />0.002 <br />0.005 <br />PASS <br />12.50 <br />0:10 <br />9:15 <br />9:45 <br />0:30 <br />0.001 <br />0.005 <br />PASS <br />ator) <br />WALTON, <br />Signature: 9 ""���' (/� NGINEERING. INC. <br />Technician: Curtis Carpenter / B37258 8020679 Date: AZlg'ust S, 2011 <br />