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SPECIAL SECONDARY CONTAINMENT TES w <br /> TEST DATE: December 19, 2014 2 4 7014 <br /> 1. OWNER L H <br /> Name Quik Stop Markets, Inc. DEPAPTA4SNT <br /> Address 4567 Enterprise Street, Fremont, CA 94538 Phone# 510-657-8500 <br /> Contact Debbie Markovich <br /> 2. FACILITY <br /> Name Quik Stop Market#148 <br /> Address 205 W. Lockeford Street, Lodi, CA 95240 Phone# 510-657-8500 <br /> Contact Roger Batra <br /> 3. CUPA <br /> Name San Joaquin County Environmental Health Notified December 17,2014 <br /> Address 1868 E. Hazelton Avenue, Stockton, CA 95202 Phone# 209-468-8257 <br /> Contact UST Team Fax# 209-468-3433 <br /> Inspector Present None <br /> 4. TESTING CONTRACTOR <br /> Name Walton Engineering, Inc. Lie# 617238 A, B, Haz <br /> Address P.O. Box 1025,West Sacramento, CA 95691 Phone# 916-373-1166 <br /> Contact Veronica Freitas Fax# 916-373-1173 <br /> Test Technician David Delgado <br /> S. SUMMARY OF TEST RESULTS <br /> Tank Annulars Tested 0 Containment Sumps Tested 1 <br /> Secondary Lines Tested 3 UDC's Tested 0 <br /> Component Results Component Results <br /> Annular-Tank#1 Gasoline-87 Piping Sump#1 Gasoline-87 Pass <br /> - - - <br /> Annular-Tank#2 Gasoline--89 Piping Sump#2 Gasoline-89 <br /> Annular-Tank#3 Gasoline-91 Piping Sump#3 Gasoline-91 <br /> - <br /> Secondary Line#1 Gasoline-87 Pass UDC#1 Disp#1/2 <br /> Secondary Line#2 Gasoline-89 Pass U D C#2 Disp#--3/4 <br /> Secondary Line#3 Gasoline-91 Pass <br /> 6. COMMENTS <br /> Technician Signature 401r_� 00 � Date December 22, 2014 <br /> 0 2014 Walton Engineering,Inc. <br />