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MONITgVING SYSTEM CERTINWATION CERTIFICATION /TEST DATE: Mav 24. 2011 A1. FACILITY Make / Model of Monitoring System: Veeder-Root TLS -350 A2. OWNER Complete the following checklist: Name Quik Stop Market #132 ■ Yes Name Quik Stop Markets, Inc. Address 3555 W. Hammer Lane, Stockton, CA 95219 Were all sensors installed at lowest point of secondary containment and positioned so that other equipment Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 ElNo* Phone # 510-657-8500 Contact Michael Karvelot ■ Yes Contact Michael Karvelot D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: 329.01 Complete the following checklist: ElNo* Is the visual alarm operational? ■ Yes ElNo* Were all sensors visually inspected, functionally tested, and confirmed operational? ■ Yes ElNo* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ■ Yes ElNo* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) El N/A operational? ■ Yes ElNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment El N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ■Sump/Trench sensors; ■ Dispenser Containment Sensors. ■ Yes El No* Did you confirm positive shut -down due to leaks and sensor failure/disconnection? El Yes ElNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ■ N/A 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? _ El Yes * ■ 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 " El No Was any liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) El 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 El No* Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. ■ Yes ElNo* Is the audible alarm operational? ■ Yes ElNo* Is the visual alarm operational? ■ Yes ElNo* Were all sensors visually inspected, functionally tested, and confirmed operational? ■ Yes ElNo* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ■ Yes ElNo* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) El N/A operational? ■ Yes ElNo* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment El N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ■Sump/Trench sensors; ■ Dispenser Containment Sensors. ■ Yes El No* Did you confirm positive shut -down due to leaks and sensor failure/disconnection? El Yes ElNo* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ■ N/A 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? _ El Yes * ■ 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 " El No Was any liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) El 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 El No* Is all monitoring equipment operational per manufacturer's specifications? E. COMMENTS Removed 10 gallons of water from the 91 fill sumo. Removed a small amount of water from the 87 and 91 STP sumps. Page 2 of 3