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TRI-ENNIAL SECONDARY CONTAINMENT TEST <br />TEST DATE: April 16, 2018 <br />1. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Debbie Markovich <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 Roger Batra <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified April 04, 2018 <br />Address 1868 E. Hazelton Avenue, Stockton, CA 95202 Phone # 209-468-8257 <br />Contact UST Team Fax # 209-468-3433 <br />Inspector Present None <br />4. TESTING CONTRACTOR <br />Name Walton Engineering, Inc. Lic # 617238 A, B, Haz <br />Address P.O. Box 1025, West Sacramento, CA 95691 Phone # 916-373-1166 <br />Contact Veronica Freitas Fax # 916-373-1173 <br />Test Technician Anthon Reyes <br />5. SUMMARY OF TEST RESULTS <br />Tank Annulars Tested 3 <br />Secondary Lines Tested 3 <br />Containment Sumps Tested 3 <br />UDC's Tested 2 <br />Component <br />Results <br />Component <br />Results <br />Annular - Tank #1 Regular Gasoline <br />Pass <br />Piping Sump #1 <br />Regular Gasoline <br />Pass <br />Annular - Tank #2 Premium Gasoline <br />Pass <br />Piping Sump #2 <br />Premium Gasoline <br />Pass <br />Annular - Tank #3 Diesel <br />Pass <br />Piping Sump #3 <br />Diesel <br />Pass <br />Secondary Line #1 Regular Gasoline <br />Pass <br />U D C #1 <br />Disp # 1/2 <br />Pass <br />Secondary Line #2 Premium Gasoline <br />Pass <br />U D C #2 <br />Disp # 3/4 <br />Pass <br />Secondary Line #3 Diesel <br />Pass <br />COMMENTS <br />Technician Signature A jo"^-Date April 16, 2018 <br />0 2017 Walton Engineering, Inc. <br />