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1. <br />OWNER INFORMATION <br />Number of Tanks Tested <br />Number of Piping Sumps Tested <br />womn Quik Stop Markets <br />Number of Piping Runs Tested 2 <br />Number of UDC Boxes Tested 2 <br />Contact Michael Kmnxs|ot <br />pxomu# <br />(510) 657-8500 <br />Comments <br />Address 4567 Enter2rise St., Fremont, CA 94538 <br />Gasoline - 87 <br />N/A - Brine filled annulars <br />Annular - Tank #2 <br />Gasoline - 91 <br />FACILITY INFORMATION <br />Name Quik Stop #TG <br />cvmoct Michael Karve|ot <br />phvne# <br />(510) 657-8500 <br />Address 1030 S. Olive Ave., Stockton, CA 95205 <br />Gasoline - 87 <br />0 <br />Secondary Pipe #2 <br />Gasoline - 91 <br />0 <br />0 <br />3. <br />LOCAL AGENCY INFORMATION <br />Nome San Joaquin County Environmental Health <br />Notified <br />Feb 27.2OO2 <br />Contact Tank Team <br />pxonew <br />(209)468-9847 <br />0 <br />Address 3O4EWeber Ave..Stockton, CA 85202 <br />Foxw <br />(209)468-3433 <br />0 <br />Inspector <br />4. <br />TESTING CONTRACTOR INFORMATION <br />Name Walton Engineering, Inc. <br />Lic#/claou <br />817238 A.B.Hmz <br />Contact Michael Walton <br />Phvno# <br />(918) 373-1152 <br />Address P.O. Box 1025. West Sacramento, CA 95691 <br />JamesTest Technician <br />:5. SUMMARY OF TEST RESULTS <br />Number of Tanks Tested <br />Number of Piping Sumps Tested <br />0 <br />2 <br />Number of Piping Runs Tested 2 <br />Number of UDC Boxes Tested 2 <br />Component <br />Pass Fail <br />Comments <br />Annular - Tank #1 <br />Gasoline - 87 <br />N/A - Brine filled annulars <br />Annular - Tank #2 <br />Gasoline - 91 <br />Secondary Pipe #1 <br />Gasoline - 87 <br />0 <br />Secondary Pipe #2 <br />Gasoline - 91 <br />0 <br />0 <br />Piping Sump #1 <br />Gasoline - 87 <br />0 <br />0 <br />Piping Sump #2 <br />Gasoline - 91 <br />0 <br />0 <br />0 2002 Walton <br />Technician Signature Date <br />