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SECONDARY CONTAINMENT TESTING - REPORT FORM <br /> TESTING DATE: AUGUST 30, 2002 <br /> 1. OWNER INFORMATION <br /> Name Shawn Corporation <br /> Address 6840 Goodyear Road, #C, Benicia, CA 94510 Phone# 707-747-2955 <br /> Contact Pushpa Singh <br /> 2. FACILITY INFORMATION <br /> Name Fast & Easy Mart #38 <br /> Address 244 W. Harding Blvd., Stockton, CA 95204 Phone# 209-948-8001 <br /> Contact Khalid <br /> 3. LOCAL AGENCY INFORMATION <br /> Name San Joaquin County Environmental Health Notified July 29, 2002 <br /> Address 304 E. Weber Ave., Stockton, CA 95202 Phone# 209-468-9847 <br /> Contact Michelle Sterni-Le Fax# 209-468-3433 <br /> Inspector Present <br /> 4. TESTING CONTRACTOR INFORMATION <br /> Name Walton Engineering, Inc. Lic#/class 617238 A, B, Haz <br /> Contact Michael Walton Phone# 916-373-1152 <br /> Address P.O. Box 1025, West Sacramento, CA 95691 <br /> Test Technician James Da <br /> 5. SUMMARY OF TEST RESULTS <br /> Number of Tanks Tested 2 Number of Piping Runs Tested 2 <br /> Number of Piping Sumps Tested 2 Number of UDC Boxes Tested 2 <br /> Component Pass Fail Comments <br /> Annular-Tank#1 Gasoline-87 • O _ <br /> Annular-Tank#2 Gasoline-91 • O <br /> Secondary Pipe#1 Gasoline-87 • O _ <br /> Secondary Pipe#2 Gasoline-91 • O <br /> Piping Sump#1 Gasoline-87 • O <br /> Piping Sump#2 Gasoline-91 • O <br /> UDC#1 Disp#1/2 • O <br /> U D C#2 Disp#3/4 • O <br /> n 2002 Walton Engineering, Inc. <br /> Technician Signature t Date <br />