|
lt��iltVl4''li�� iNll9�, BtVIQ;.
<br /> P . 0 . Box 1025 9163721888 PH
<br /> 3900 Commerce Drive 9163731172 FAX
<br /> West Sacramento, CA 95691 - 1025 CA Contractor's license # 617238
<br /> IY is}, 'f.$;G b..•.,ti.�,�.c:43u„�.. '.;{Lr•,:!+"£.,:i.r7 1f{t✓f„f { s. „ ...i.,i..i.:.�..yfit,:t:1i,„,i<. :.k,-.N;..ct;,„"„L;,5.,
<br /> £ij :=.il'tr-.7.�!?...k.t't:vt£�:f.•,`4''F!: o J:1'l: :.. . ,.£{.
<br /> ti.,'hr:i . ” .:i..`1t.,.F(?..,,s1C:•.
<br /> .. ..':.1) 3. ;i1: } t - :z'. l5:
<br /> 3Y:r
<br /> dYtK.,.j:t ; : ;
<br /> '.:¢•°�•,�)n:r:!'1'�`':A
<br /> .V.
<br /> �tIO .Li i �� qLJOrG:f . r{; ; ::t. . ;v :, a {
<br /> .n:n• ,
<br /> Quik Stop Markets , Inc. Quik Stop Market #125 21 Scheduled Date: 6/4/2019
<br /> 4567 Enterprise Street 1580 W , Main Street Scheduled Time : 9 : 00:00AM
<br /> Fremont, CA 94538 Ripon , CA 95366 Contact: Michael Karvelot
<br /> Customer PO# : C-1 -0001
<br /> Phone : 2095994261 Facility: W31020- 125
<br /> Station # : 125
<br /> Contract # :
<br /> ' f, •7r,i t:Pl. : l ; t• :;: u f:' :,:{ : cl '.,.�;ntsrrf',., :., lo: `1 , e •,.•:..e, Q. r5' '..� ,}3v•e:.;.(11?� ,. {1:,t.. ;.t't,t.t�Pr�<�..{f>.q:.,.:..,:1i:.,,.!l{:: .,G:•i'{ai.t.. . 1 , ••,.�Jl,u.u:r;' .l....,flflil ,.t. y° "�:e_:Ait,i„• 1.11 , . . . . . ., {,:•fetul:lli:..;.:,.}.1::::,.rr,:...:,:>'s• �:i: ',i1's.t,..'iy:l:i'y,..{,>..ta{'i{iIk:tF1:: ,..yf: 1;11:%:,",>£. =, £;.,!
<br /> :,r!'1, .0il t ,,, . £ .
<br /> :. soblif i �d�iS s 1,!1+` r.l,�- -,: fi«gr=r; :) ;,{-_ :��.= '•' 11i:a'i.'
<br /> ',.
<br /> :I,b!£. ..,I� #,, .i;f s;;,i �i=' :iC< - L ,r },r::;' t.i;•:.)
<br /> Annual compliance Test
<br /> itt , ,oi ',F?i3ff91 ; ; , :d'< �l �
<br /> 6/4119 JSA Completed,
<br /> 614/19 Performed annual monitoring certification with passing results, SJVEHD County inspector was onsite to observe testing, All test water was
<br /> placed in onsite hazdrum ASD 3-27- 19 that is 414 full and another Walton supplied drum ASD 64-2019 and Is half full ,
<br /> Removed a small amount of liquid from the diesel stp sump.
<br /> Removed approx 5 gal of liquid from the 87 and 91 fill sumps .
<br /> Removed approx 85 gal of liquid from the diesel fill sump.
<br /> 0RI', h,'1,1;4k�e qq" t• f1:1;,
<br /> 1 +.:tr r .I 'c .,. •,• xt:lt a.z�ak.11 S
<br /> P K ' ,s `-: 1 'sl¢ iii 1;ill
<br /> y 7 • ( £ { r.•g_u!'. t y ^g;: . a a.,.'i'i-_tFf!3'Piti ' vt',.:; :;e '-,<. < . ) ':,<� , 1 • : ! v
<br /> L rt, 's f :i !t ; {
<br /> " y r : i .£ { ; i;s!. , g= t . a . J ,. ' Sh
<br /> y . {{, 01. . , '. . r11'bill' ;1 )'s;t..;• ; ',t c,: .: ;. ,. , Y. .. , i,l k,, , {, 4. s”; ;y-` `E.• . .�;4a,; ,, ...wT' t.. va;! e{`S:<'Z :'p :•,e .1 /;R 'V hF
<br /> � `>7 tS>-. *i;sY ii3t•[ :i . .,.FNl,: , ,{ i1 !'1,IL . i_;..9f :iix.,.. eal.;if.it:{rt.'e:Fi'?:{;:;i`e.. 4«{tell .l,£i'Si}:{:;: r.:isR') till?isnll:isSdi.lt,l2„!.l??rf1:,+k '.7{`yf:!:5.: � d: •:,J�trfr. ; ltS,G :'; a S {� f . i � �5:; f=: f til: ir
<br /> 1 309.51011 IRES1 DRUM, 55 GAL., DOT Drum, 55 Gal. DOT, UN1A2, Open Top
<br /> 1 309-72090# ACCO jMHZWCA Label, Hazardous Waste Decal for Drums
<br /> `t.i r - 't �.;�•r:t t ` t ” t !1" '�' ! `l ''i + iU 'f Mu . ii ;' mo;l '> .�s<,:�, :,:� , ) » ;
<br /> Date T c i r 1> : t3i ; �i „ar . .� . 1- At :i � A... . artur ter dc . `i to : ; t �l,' ,,: •,f; i, :, r; ` i;,,., 1 :;;tiY r
<br /> j £ 3 ?� r 4'£a. # { �,gt), E fl - <f / , f { 4 P Il I . i j _ ftp!+ Qe�B�lµ4@I
<br /> ..v kr ,`. 'tti.,, f , .,r. 1 Ai,f !�l'•.F ,t t . .t.}. Ji l:t Fmt. .'•''lit. : , SI`,.- ;t t:%:S .itil;� :lttfll. : i££ t, . y:%P4' 7' 6 ,"#• 1 3 , F,;t?i 1qt . i :!i•: ?AHiI is°iti ;;lr.X��:l+ t,,1+1;i*v,"i�'iFrylt;`i!t '�iAv,-.�ti �ll�'ftii i,i r 1; ` j t •<k. , ; .r3:;FnS+!tkl!!4 �I
<br /> I: i f. •l .1111 7. �M fiQi{5=ptr o S
<br /> 6/4/19 Olvera 111, Henry S. 08:45 15: 15 6/4/19 Reyes, Anthony R. 08:45 15:15
<br /> E V
<br /> R E
<br /> E NVIRO1�1M1� 1�1 f : ,'� 1 i r
<br /> Store Stamp & Signature
<br /> E
<br /> Technician Signature Customer Signature
<br /> P
<br />
|