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OCT -13-2004 WED 11:32 AM QUIL STOP MARKETS FAX N0, 5106571544 P. 02 <br />SECONDARY CONTAINMENT T TI <br />TESTING DATE: January 301 2004 <br />; OWNER INFORMATION <br />Name Quik Stop Markets <br />Address 4567 Enterprise Street, Fremont, CA 94538 Phone# 510-657-8500 <br />2. FACILITY INFORMATION <br />Annular • Tank #1 Gasoline - 87 <br />Stell Container 02 <br />Name Quik Stop #144 <br />7272 West Lane, Stockton, CA 95209 <br />phone # <br />510-657-8500 <br />Addre" <br />Contact Michael Karvelot <br />Disp # 1 Q <br />Seoon ry Une #9 Gasoline - 87 _ <br />3. LOCAL AGENCY INFORMATION <br />Notified <br />January27 2 004 <br />y 27, 2 <br />San Joaquin County Environmental Health <br />, <br />Name <br />304 E. Weber Ave., Stockton, CA 95202 <br />n <br />Phone <br />209-46y <br />Address <br />Fax <br />209-468-3433 <br />Contact UST Team <br />Ins otor Present Norte <br />4. TESTING CONTRACTOR INFORMATION <br />617238 A, B, Haz <br />Name Walton Engineering, Inc. <br />LIC <br />phone# <br />915-373-1152 <br />Contact Michael Walton <br />P.Q. Box 1025, West Sacramento,. CA 95691 <br />p <br />916-373-1172 <br />Address <br />Test Technidan Juan Del ado <br />SUMMARY OF TEST RESU <br />Number of Tw* Annulars <br />Numb of Secondary Unes ... <br />Number of. Pi Sum._ Q <br />Comoonent <br />6. C0MMtNT5 <br />This is an annual test of s � ill containers only. <br />i Technician Signature <br />2003 Waxes► Engineering, Inc. <br />Number of Spill COnt8in0m <br />Number of UDC°s Tested <br />3- <br />0 _0 <br />Spd) Contdlter #1 <br />Annular • Tank #1 Gasoline - 87 <br />Stell Container 02 <br />Annular - Tank 82 Gasoline - 89 _ <br />Spill Container #3 <br />Annular - Tank #3 Gasoline - 91 <br />U D C 01 <br />Disp # 1 Q <br />Seoon ry Une #9 Gasoline - 87 _ <br />Disp # 3/4 _ <br />Secondary Line #2 Gasoline • 89 <br />D.W#5ffi...� <br />Secondary.Une #3 Gasoline - 91 <br />�pinq gumP #q Gasoline - 87 <br />Pi ng Sump #2 Gasoline - S9 <br />Ping Sump #3 Gasoline - 91 — <br />6. C0MMtNT5 <br />This is an annual test of s � ill containers only. <br />i Technician Signature <br />2003 Waxes► Engineering, Inc. <br />Number of Spill COnt8in0m <br />Number of UDC°s Tested <br />3- <br />0 _0 <br />Spd) Contdlter #1 <br />Gasoline - 87 <br />Stell Container 02 <br />Gasoline - 89 <br />Spill Container #3 <br />Gasoline - 91__ <br />U D C 01 <br />Disp # 1 Q <br />6-6 C #Y2 <br />Disp # 3/4 _ <br />UDC#3 <br />D.W#5ffi...� <br />LES/1_'JQIlI'� <br />