COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

MONIT(- ZING SYSTEM CERTI`-:ATION CERTIFICATION / TEST DATE: June 12, 2009 Al. FACILITY A2. OWNER Name Circle K#2701205 Name Circle K Stores, Inc. Address 16470 Cambridge, Lathrop,CA 95330 Address 495 East Rincon St.,Ste 150, Corona, CA 92879 Phone# 209-858-4116 Phone# 951-270-5183 Contact Rex Abacan Contact Rex Abacan D. RESULTS OF TESTING/ SERVICING Make / Model of Monitoring System: veeder-Root TLS-350 Software Version Installed: Complete the following checklist: ■ Yes ❑ No' Is the audible alarm operational? ■ Yes ❑ No- Is the visual alarm operational? ■ Yes ❑ No* Were all sensors visually Inspected,functionally tested,and confirmed operational? ■ Yes ❑ No Were all sensors Installed at lowest point of secondary containment and positioned so that other equipment will not Interfere with their proper operation? ■ Yes ❑ No' If alarms are relayed to a remote monitoring station,Is all communications equipment(e.g.modems) ❑ N/A operational? ❑ Yes ❑ No' For pressurized piping systems,does the turbine automatically shut down If the piping secondary containment ■ WA monitoring system detects a leak,falls to operate,or Is electrically disconnected? If yes:which sensors Inhiate positive shutdown? (check all that apply) ❑ SumplTrench sensors; ❑ Dispenser Containment Sensors. ❑ Yes ■ No' Did you confirm positive shutdown due to leaks 9DA sensor fallure/dleconneetlon? ❑ Yes ■ No` For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no ■ NIA mechanical overfill prevention valve is installed),is the overfill warning alarm visible and audible at the tank fill point(s)and operating properly? If so,at what percent of tank capacity does the alarm trigger? _ 13Yes' ■ No Was any monitoring equipment replaced? If yes,Identify specific sensors,probes,or other equipment replaced and list the manufacturer name and model for all replacement parts In Section E,below. ❑ Yes' ■ No Was any liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ❑ Water. If yes,describe causes In Section E,below. ■ Yes ❑ No' Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports,If applicable. ■ Yes ❑ No' Is all monitoring equipment operational per manufacturers specifications? ` In Section E below,describe how and when these deficiencies were or will be corrected. E. COMMENTS This is a retest of the 87 annular after repairs. 9 2006 Walton Engineering,Inc. Page 2 of 3