COMPLIANCE INFO_2009-2018 - Laserfiche WebLink

Home Browse Search

MONITCVING SYSTEM CERTIRf ATION CERTIFICATION /TEST DATE: April 23, 2012 A1. FACILITY A2. OWNER Name Quik Stop Market #132 ❑ Name Quik Stop Markets, Inc. Address 3555 W. Hammer Lane, Stockton, CA 95219 [I Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 ❑ Phone # 510-657-8500 Contact Michael Karvelot El Contact Michael Karvelot F. IN -TANK GAUGING / SIR EQUIPMENT: ■ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: Fj07No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes El No * Were all tank gauging probes visually inspected for damage and residue buildup? [I Yes _ ❑ No * Was accuracy of system product level readings tested? ❑ Yes El No * _ __ Was accuracy of system water level readings tested? El Yes C3 No * _ Were all probes reinstalled properly? Were all items on the equipment manufacturer's maintenance checklist completed? 1:1 Yes El No * ElNo* [I N/A For electronic LLDs, does the turbine automaticallyshut off if the LLD detects a leak? ❑ Yes ❑ No* * In Section H below, describe how and when these deficiencies were or will be corrected. G. LINE LEAK DETECTORS (LLD): Complete the following checklist: ❑ Check this box if LLDs are not installed. Fj07No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes El No * Were all tank gauging probes visually inspected for damage and residue buildup? [I Yes _ ❑ No * Was accuracy of system product level readings tested? ❑ Yes El No * _ __ Was accuracy of system water level readings tested? El Yes C3 No * _ Were all probes reinstalled properly? Were all items on the equipment manufacturer's maintenance checklist completed? 1:1 Yes El No * G. LINE LEAK DETECTORS (LLD): Complete the following checklist: ❑ Check this box if LLDs are not installed. * In Section H below, describe how and when these deficiencies were or will be corrected. I H. COMMENTS Page 3 of 3 ■ Yes ElNo* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? El N/A (check all that apply) Simulated leak rate: ■ 3 g.p.h.; El0.1 g. p. h.; [10.2 g. p. h. ■ Yes ElNo* Were all LLDs confirmed operational and accurate within regulatory requirements? ■ Yes ❑ No* Was the testing apparatus properly calibrated? For mechanical LLDs, does the LLD restrict product flow If it detects a leak? ■ Yes ElNo* [I N/A For electronic LLDs, does the turbine automaticallyshut off if the LLD detects a leak? ❑ Yes ❑ No* ■ N/A El Yes E]No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ■ N/A or disconnected? For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ❑ Yes ElNo* ■ N/A or fails a test? For electronic LLDs, have all accessible wiring connections been visually inspected? El Yes ❑ No* ■ N/A Were all items on the equipment manufacturer's maintenance checklist completed? ■ Yes ❑ No* * In Section H below, describe how and when these deficiencies were or will be corrected. I H. COMMENTS Page 3 of 3