COMPLIANCE INFO_2001-2008 - Laserfiche WebLink

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SECONDARY CONTAINMENT TESTING - REPORT FORM TESTING DATE: APRIL 8, 2002 1. OWNER INFORMATION Name Quik Stop Markets 3 3 Contact Michael Karvelot Phone # (510) 657-8500 Address 4567 Enterprise Street, Fremont, CA 94538 Comments0� ................................................................................................................................................................................................................................................................................ .......................................................................................................................................................................................................................................................... _ ......................................................................................................................................................................................._.._._....-......- ..................._..........._........................._.............._....._........................_........_.................-............._..............._...._........................................._........-._........_.._.................. ........................ - - ................ . ...................... ................................ ........................................................................................................................................................................................ ........._ - -....................................................................................................................................................................................................... -....................................................................................................................................................... -.................................................................................... -..................................................................................... ................_...._..........__......_...._....................................................................._........._........_......_..............................._..............................._.._._................................... - ............................................ . .. 2. FACILITY INFORMATION Gasoline - 89 • O Name Quik Stop #132 2002 Annular - Tank #3 Gasoline - 91 Contact Michael Karvelot Phone # (510) 657-8500 Address 3555 W. Hammer Ln., Stockton, CA 95209 .....__ .............................................................................................................................................................................................................................................................................. _.............................._..._....................__-..... ..._._._... .........................................................._...............-........................_.....__.... _.................................................................................................................................................._......................................._......_.............. ................-.._..........._.........................................................................._..._......_.................................................._............................._._.._............._...............-......_ .......... .._...................................._..._._ ........ ..............._................._... ................................................-.............................................................................................-......-...........................................--.........................................................-........-.... - ................................................................................................................................................................................................................................................................................ ............................................................................................................................................................................................................................................................ O 3. LOCAL AGENCY INFORMATION Gasoline - 89 • O Name San Joaquin County Environmental Health Notified March 29, 2002 Gasoline - 91 Contact Tank Team Phone # (209) 468-9847 Address 304 E. Weber Ave., Stockton, CA 95202 l=ax: (209) 468-3433 Inspector Present Piping Sump #1 Gasoline - 87 O • . ..... ...... .. .... .:: 4. TESTING CONTRACTOR INFORMATION Piping Sump #3 Gasoline - 91 Name Walton Engineering, Inc. Lic#/Class 617238 A, B, Haz Contact Michael Walton Phone # (916) 373-1152 Address P.O. Box 1025, West Sacramento, CA 95691 U D C #1 Disp # 1/2 Test Technician James Day O U D C #2 Disp # 3/4 • 5. SUMMARY OF TEST RESULTS Number of Tanks Tested Number of Piping Sumps Tested 3 3 Number of Piping Runs Tested Number of UDC Boxes Tested 3 4 Component Pass Fail Comments0� Annular - Tank #1 Gasoline - 87 • O LL= l_ Annular - Tank #2 Gasoline - 89 • O APR 2002 Annular - Tank #3 Gasoline - 91 • 1 O E° HENTH Secondary Pipe #1 Gasoline - 87 • O Secondary Pipe #2 Gasoline - 89 • O Secondary Pipe #3 Gasoline - 91 • O Piping Sump #1 Gasoline - 87 O • Piping Sump #2 Gasoline - 89 O • Piping Sump #3 Gasoline - 91 O • U D C #1 Disp # 1/2 • O U D C #2 Disp # 3/4 • O U D C#3 Disp # 5/6 • O U D C#4 Disp # 7/8 • O nc. Technician Signature 'IKDate 1-1- /U —0.;2-