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SECONDARY CONTAINMENT TESTING - REfq�jff I <br />TESTING DATE: NOVEMBER 1, 2002 <br />Novo 8 zooz <br />1. OWNER INFORMATION ENVIRON <br />Name Toys R Us PERMIT/SERVICES <br />Address 1624 Army Court, Stockton, CA 95206 Phone# 209-465-4912 <br />Contact Gary Moore <br />2. FACILITY INFORMATION <br />Name Toys R Us - Stockton Distribution Center <br />Address 1624 Army Court, Stockton, CA 95206 Phone# 209-465-4912 <br />Contact Gary Moore <br />3. LOCAL AGENCY INFORMATION <br />Name San Joaquin County Environmental Health <br />Notified <br />October 30, 2002 <br />Address 340 Weber Ave., Stockton, CA 95202 <br />Phone # <br />209-468-9847 <br />Contact Michelle Sterni -Le <br />Fax# <br />209-468-3433 <br />Inspector Present <br />• O <br />...... . <br />4. TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. <br />Lic#/Ciass <br />617238 A, B, Haz <br />Contact Michael Walton <br />Phone# <br />(916) 373-1152 <br />Address P.O. Box 1025, West Sacramento, CA 95691 <br />Diesel <br />O • <br />Test Technician James Day <br />5. SUMMARY OF TEST RESULTS <br />Number of Tank Annulars Tested <br />Number of Piping Sumps Tested <br />1 <br />1 <br />Number of Secondary Lines 1 <br />Number of UDC's Tested 0 <br />Component <br />Pass Fail <br />Comments <br />Annular - Tank #1 <br />Diesel <br />• O <br />Secondary Line #1 <br />Diesel <br />O • <br />Piping Sump #1 <br />Diesel <br />• O <br />U D C #1 <br />Disp # 1/2 <br />There is no UDC at this facility. <br />This is a suction system. <br />V 2UO2 Walton Engineering, Inc <br />Technician Signature <br />/91 <br />Date —� <br />