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SECONDARY CONTAINMENT (S13989) TEST NOTES for Quik Stop Market #120 <br />9321 Thornton Road, Stockton, CA 95209 <br />Job # 31020-120 <br />Facility # 31020-120 <br />Test Date June 23, 2009 <br />Notification Date June 18,200MAL <br />CUPA # 110 <br />CUPA Contact Name <br />Inspector Present <br />Test Technician <br />Test Type (For Summary) <br />Test Reason (For Notice) <br />None <br />Ryan Powell <br />TRI -ANNUAL <br />(Do NOT Guess) <br />(Do NOT Guess - Use Database) <br />(Enter as: Month xx, 200x) <br />(Enter as: Month xx, 200x) <br />Quik Stop Markets, Inc. <br />9:00 a.m. (Enter as: x:xx a.m. / p.m.) <br />(PO #) <br />(Do NOT Guess - Use Database) San Joaquin County Environmental Health <br />(Enter only if "turquoise" is WRONG!) Muniappa Naidu <br />(Enter Inspector Name [INCLUDE BUSINESS CARD] or enter None) <br />(ALL CAPS! Enter: TRI -ANNUAL, POST -CONSTRUCTION, SPECIAL, or SURVEY) <br />(Enter reason for test: ONLY IF TEST TYPE IS "SPECIAL") <br />Type of Hydrostatic Tester Used: (Place an X in the appropriate box) <br />INCON TS -STS (Electronic Sump Test System) <br />THIS REPORT IS ONLY FOR THE INCON TEST SYSTEM <br />Scope of Work: List scope of work (if not self explanatory) and any other work to be performed. <br />TRI -ANNUAL compliance test. <br />Test Notes: Comment on any site or test conditions that will further the understanding of this facility. <br />List AND photograph any drums left on the site. <br />Having problems with test equipment. Need to return to test SPT #1. All the pieces on my truck is harden in the tube <br />and unusable. It needs repalced. <br />Parts Replaced: Enter the part number and quantity. The description is automatic. The parts page completes automatically. <br />Part # Quantity Description <br />No Parts Used <br />Accuracy, spelling, grammar, punctuation, capitalization, consistency, and completeness are important! <br />Double-check and review your work! <br />