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ANNUAL SILL CONTAINER TE89 REPORT <br />TEST DATE: July 2, 2010 <br />A1. FACILITY <br />1 <br />A2. OWNER <br />Name <br />Quik Stop Market #152 <br />San Joaquin County Environmental Health <br />Name <br />Quik Stop Markets, Inc. <br />Address <br />1721 S. Cherokee Lane #1, Lodi, CA 95240 <br />600 E. Main Street, Stockton, CA 95202 <br />Address <br />4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />510-657-8500 <br />June 30, 2010 <br />Phone # <br />510-657-8500 <br />Contact <br />Michael Karvelot <br />Aris Cacpit <br />Contact <br />Michael Karvelot <br />A3. C U P A <br />1 <br />A4. TESTING CONTRACTOR <br />Name <br />San Joaquin County Environmental Health <br />Gasoline - 87 <br />Name <br />Walton Engineering, Inc. <br />Address <br />600 E. Main Street, Stockton, CA 95202 <br />5 <br />Address <br />P.O. Box 1025, W. Sacramento, CA 95691 <br />Notified <br />June 30, 2010 <br />OPW <br />Lic # <br />617238 A, B, Haz <br />Inspector <br />Aris Cacpit <br />12.00 <br />Contact <br />Richard Walton <br />Phone # <br />209-468-8257 <br />Yes <br />Phone # <br />916-825-3203 <br />K. SPILL CONTAINER TEST RESULTS <br />Measuring Equipment Used: Caldwell System 2001 / Walton Engineering (Level Change Indicator) <br />Tank Number <br />1 <br />Product contained <br />Gasoline - 87 <br />Spill container capacity (US gallons) <br />5 <br />Spill container manufacturer <br />OPW <br />Spill container depth (inches) <br />12.00 <br />Is the spill container located in a sump? <br />Yes <br />Does sump have a liquid sensor installed? <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 />10.50 <br />11.00 <br />Wait time for water level to stabilize (hr:min) <br />Test start <br />9:05 <br />9:32 <br />0.005 <br />0.005 <br />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 fill cap on the 87 tank. <br />WALTON <br />��1��1 yy��, <br />Signature: il/K.�CJ — <br />ENGINEERING. INC, <br />Technician: Bruce N. Stewart / A31131 5249892 -UT Date: July 2, 2010 <br />© 2010 Walton Enaineeri <br />na. Inc. <br />10.50 <br />0:10 0:10 0:10 <br />9:30 <br />10:00 9:20 9:45 <br />0:30 0:15 0:13 <br />0.000 0.125 0.125 <br />0.005 <br />PASS <br />Entire <br />3 <br />Gasoline - 91 <br />5 <br />OPW <br />12.50 <br />Yes <br />No <br />Dry <br />Entire <br />