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WALTON <br />ENGINEERING, INC. <br />P. O. Box 1025 <br />3900 Commerce Drive <br />West Sacramento, CA 95691-1025 <br />9163721888 PH <br />9163731172 FAX <br />CA Contractor's License # 617238 <br />Customer <br />Job Location <br />Work Order # <br />166701 <br />Quik Stop Markets, Inc. <br />Quik Stop Market #124 Z1 <br />Scheduled Date: <br />6/12/2023 <br />165 Flanders Rd <br />505 N. Main Street <br />Scheduled Time: <br />9:00:00AM <br />Westborough, MA 01581 <br />Manteca, CA 95336 <br />Contact: <br />Michael Karvelot <br />echnician <br />Arrival <br />Custc.mer PO# : <br />245669504 <br />Davies; Sean M. <br />Phone: 2098237628 <br />Facility: <br />W31020-124 <br />Janoe; Nicholas C. <br />9:17 <br />Station # : <br />124 <br />Contract # <br />Annual Compliance Test i <br />Work Performed: 11 <br />6/12/23 JSA complete and uploaded to the Walton work order. <br />6/12/23 Cleaned all float and chain assemblies in UDC 1-2. <br />Replaced siphon jet and MLLD on the 87 STP sump during LD testing. <br />Purged 6.978 gallons of 87 product from all four fueling points. All fuel returned to 87 product tank. <br />Completed annual monitor system certification and spill container testing with passing results. <br />All liquid placed in liquid waste drum on site. ASD 6-9-23 1/4 Full. <br />Inspector requests the removal of all liquid in all fill sumps. (estimated 90 gallons of liquid in total) <br />Will need to return at a later date in order to remove liquid in fill sumps <br />Parts Used: <br />Qty Part # Mfg Mfg Part # <br />New Serial # <br />Des c <br />Reason <br />1 301-97082 1 FEPETRC 400562901 N/A <br />1 301-81010 VAPORLE 99LD-2000-S ! 22111715 <br />Siphon Jet Assembly <br />Leak Detector, VMI Mechanical 7 <br />New <br />New <br />Date <br />Technician <br />Arrival <br />Departure <br />Date <br />echnician <br />Arrival <br />Departure <br />6/12/23 <br />Davies; Sean M. <br />9:17 <br />14:30 <br />6/12/23 <br />Janoe; Nicholas C. <br />9:17 <br />14:30 <br />Store Stamp & Signature <br />Technicia Sig tur Customer Signature <br />