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ANNUAL SPILL CONTAINER TEST REPORT <br />TEST DATE: June 20, 2005 <br />1. OWNER <br />Name Quik Stop Markets, Inc. <br />Address 4567 Enterprise Street Fremont, CA 94538 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />2. FACILITY <br />Name Quik Stop Market #132 <br />Address 3555 W. Hammer Ln. Stockton, CA 95219 Phone # 510-657-8500 <br />Contact Michael Karvelot <br />3. CUPA <br />Name San Joaquin County Environmental Health Notified June 10, 2005 <br />Address 304 E Weber Avenue 3rd Floor Stockton, CA 95202 Phone # 209-468-9847 <br />Contact Michelle Le Fax# 209-468-3433 <br />Inspector Present Michelle Le <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 # 916-373-1152 <br />Contact Michael Walton Fax # 916-373-1172 <br />Test Technician Phillip Klin man <br />5. TEST RESULTS <br />Measuring Equipment usea: uaiaweii System zuul / vvalton tngineering (Level unange rnaicator) <br />Descrintion Tank #1 Tank #2 Tank #3 <br />Product contained <br />Spill container capacity (US gallons) <br />Spill container manufacturer <br />Gasoline - 87 <br />5 Gallons <br />OPW <br />Gasoline - 89 <br />5 Gallons <br />OPW <br />Gasoline - 91 <br />5 Gallons <br />OPW <br />Spill container depth (inches) <br />13.50 <br />14.00 <br />12.50 <br />Is the spill container located in a sump? <br />Yes <br />Yes <br />Yes <br />Does sump have a liquid sensor installed? <br />No <br />No <br />No <br />Condition of spill container prior to testing <br />Dry <br />Dry <br />Dry <br />Portion of spill container tested <br />Entire <br />Entire <br />Entire <br />Depth of water level from bottom (inches) <br />13.25 <br />13.75 <br />12.25 <br />Wait time for water level to stabilize (hr:min) <br />0:05 <br />0:04 <br />0:01 <br />Test start time <br />10:10 AM <br />10:15 AM <br />10:20 AM <br />Test end time <br />10:40 AM <br />10:45 AM <br />10:25 AM <br />Test duration (hr:min) <br />0:30 <br />0:30 <br />0:05 <br />Change in water level (t 0.000 inches) <br />0.000 <br />0.000 <br />1.500 <br />Pass/Fail threshold (0.005 inches /'/2 Hr.) <br />TEST RESULT <br />0.005 <br />PASS <br />0.005 <br />PASS <br />0.005 <br />FAIL <br />6. COMMENTS <br />Technician Signature// Date �5 J3; -o <br />