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06/11/2003 14:39 <br />9163731172 <br />9 <br />WALTON ENGINEERING <br />0 <br />SECONDARY CONTAINMENT TESTING - REPORT FORM <br />RETESTING DATE: MAY 14, 2002 <br />OWNER INFORMATION <br />Name <br />Quik Stop Markets <br />contact <br />Michael Karvelot <br />Phone# (510) 867-8600 <br />Address <br />4567 Ente rise Street, Fremont CA,94538 <br />1 .110 . . . . . . . . . . . . . <br />..2. <br />FACILITY INFORMATION <br />Name <br />Qulk Stop #132 <br />Contact <br />Michael Karvelot <br />Phone # (510) 1557-8500 <br />Address <br />3555 W. Hammer Ln., Stockton CA 95209 <br />F �'g �p 'I Lzggggg -w 21 <br />3. <br />LOCAL AGENCY INFORMATION <br />Name <br />San Joaquin County Environmental Health <br />Notified May 6, 2002 <br />Contact <br />Tank Team <br />(209) 468-9847 <br />Phone #1, <br />Addrees <br />304 E. Weber Ave., Stockton, CA 95202 <br />Fax: (209) 488-3433 <br />Ins attar Present <br />"N' i�-' Z-1 " 6 <br />LEE M0 <br />4. <br />TESTING CONTRACTOR INFORMATION <br />Name <br />Walton Engineering, Inc. <br />I-IoNCIam 617238 A, 8, Haz <br />Contact <br />Michael Walton <br />Phone 9 (916) 373-1152 <br />"I- <br />Address <br />P.O. Box 1026, West Sacramento, CA 95691 <br />Test Technician <br />David D ass <br />P, <br />.'5, <br />SUMMARY OF TEST RESULTS <br />Number of Tanks Tested <br />0 Number of Piping Runs Tested <br />0 <br />Number of PIpIng Sumps Tested a Number of U DC Boxes Tested <br />0 <br />Component <br />Pass Fail <br />Comments <br />Annular - Tank #1 <br />Gasoline - 87 <br />Annular - Tank #2 <br />Gasoline .89 <br />.3 <br />Annular - Tank #3 <br />Ganollne - 01 <br />Seconds N Pipe #1 <br />Gasoline - 87 <br />Seconds ty Fipe #2 <br />Gasoline - 89 <br />Secondary Pipe #3 <br />Gasoline - 91 <br />kx <br />Piping Sump #1 <br />Gasoline - 87 0 0 <br />This is a retest of these sumps <br />only. <br />PIng Sum #2 <br />Gasoline - 89 • 0 <br />This site was ort QMall y tested on April a, 2002 <br />...... .... <br />Piping Sump #3 Gawine - 91 0 0 <br />U D C #1 <br />Disp # 1/2 <br />U DC#2Li�p <br />0 3/4 <br />M. <br />UDC #3 <br />Disp # <br />U D C94 <br />Disp # 7/8 <br />. . . . . . . . . . . . . ......... ...... <br />6 "r:7&F <br />.4. " - - =--. 0. 1 . ... . ..... <br />0 2002 Walton Engineering, Inc. <br />Technician Signature <br />Date <br />