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C <br />TEST DATE: September 7, 2006 <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 />Name Quik Stop Market #152 <br />Address 1721 S. Cherokee Lane #1 Lodi, CA 95240 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />3. COPA <br />L;aiaweu bystem zuui / walton Lngineenng <br />(Level Change Indicator) <br />Description <br />Name <br />San Joaquin County Environmental Health <br />Notified <br />September 6, 2006 <br />Address <br />304 E Weber Avenue, 3rd Floor Stockton, CA 95202 <br />Phone # <br />209-468-9847 <br />Contact <br />Willy Ng <br />Fax # <br />209-46$-3433 <br />Inspector Present <br />Toua Yang <br />Spill container manufacturer <br />—----------— - <br />OPW <br />— - -- — <br />OPW <br />-- - - <br />OPW <br />-- — <br />Spill container depth (inches) <br />12.25 <br />--- <br />12.00 <br />-------- <br />12.00 <br />4. TESTING CONTRACTOR <br />Is the spill container located in a sump? <br />Yes <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 />Mauricio Miranda <br />Entire <br />j"A"M <br />measunng cquspmen[ uses: <br />L;aiaweu bystem zuui / walton Lngineenng <br />(Level Change Indicator) <br />Description <br />Tank #1 <br />Tank #2 <br />Tank #3 <br />Product contained <br />Gasoline - 87 <br />Gasoline - 89 <br />Gasoline - 91 <br />Spill container capacity (US gallons) <br />5 <br />5 <br />5 <br />Spill container manufacturer <br />—----------— - <br />OPW <br />— - -- — <br />OPW <br />-- - - <br />OPW <br />-- — <br />Spill container depth (inches) <br />12.25 <br />--- <br />12.00 <br />-------- <br />12.00 <br />Is the spill container located in a sump? <br />Yes <br />Yes <br />Yes <br />Does sump have a liquid sensor installed? <br />No <br />No <br />No <br />Condition of spill container prior to testing <br />_ Dry - - <br />Portion of spill container tested <br />Entire <br />Depth of water level from bottom (inches) <br />10.75 <br />Wait time for water level to stabilize (hr:min) <br />0:10 <br />Test start time <br />10:26 AM <br />Test end time <br />10:56 AM <br />Test duration (hr:min) <br />0:30 <br />Change in water level (t 0.000 inches) <br />0.000 <br />Pass/Fail threshold (0.005 inches Hr.) <br />0.005 <br />TEST RESULT <br />PASS <br />6. COMMENTS <br />Technician Signature t;Y w !x� /Jflh Date September 7, 2006 <br />D06 Watton Enameenna. Inc. <br />