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• ; MONITAING SYSTEM CERTIMATION CERTIFICATION / TEST DATE: May 26, 2009 A1. FACILITY ■ Yes ❑ No A2. OWNER ■ Yes 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 will not interfere with their proper operation? Address 4567 Enterprise Street, Fremont, CA 94538 Phone# 510467-8500 ❑ No ❑ WA ❑ No' Phone# 510-657-6500 Contact Michael Karvelot ■ Yes ' Contact Michael Karvelot D. RESULTS OF TESTING / SERVICING I Make I Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: 329.01 Cmmnlats the fellowina checklist: ' In Section E below, describe how and whets these deffcieneies were or will be comectsa. E. COMMENTS Replaced the 91 STP sump sensor after the original sensor fell apart during testing. Replaced the fill caps on the 87 and 89 spill containers. Removed approximately 15 gallons of water from the 87 and 91 fill sumps. Page 2 of 3 ■ Yes ❑ No is the audible alarm operational? ■ Yes ❑ No' Is the visual alarm operational? ■ Yes ❑ No Were all sensonz 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' ■ WA If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g. modems) operational? ■ Yes ■ Yes ❑ No ❑ WA ❑ No' For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ■ SumplTrench sensors; ■ Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failureldisconnection? ❑ Yes ❑ No' ■ WA For tank systems that utilin the monitoring system as the primary tank overfill warning device (Le. no 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? _ % ■ Yes ' ❑ No Was any monitoring equipment replaced? if yes, identity specific sensors, probes, or odw 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 whets these deffcieneies were or will be comectsa. E. COMMENTS Replaced the 91 STP sump sensor after the original sensor fell apart during testing. Replaced the fill caps on the 87 and 89 spill containers. Removed approximately 15 gallons of water from the 87 and 91 fill sumps. Page 2 of 3