Laserfiche WebLink
MONI'ORING SYSTEM CERTIfICATION <br />CERTIFICATION /TEST DATE: June 18, 2007 <br />Al. FACILITY <br />Yes <br />❑ <br />A2. OWNER <br />Is l <br />Name <br />Quik Stop Market #124 <br />❑ <br />Name <br />Quik Stop Markets, Inc. <br />Address <br />505 N. Main Street, Manteca, CA 95336 <br />❑ <br />Address <br />4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />510-657-8500 <br />❑ <br />Phone # <br />510-657-8500 <br />Contact <br />Michael Karvelot <br />Contact <br />Michael Karvelot <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Gilbarco EMC <br />Software Version Installed: 16.04 <br />Complete the following checklist: <br />■ <br />Yes <br />❑ <br />No* <br />Is l <br />■ <br />Yes <br />❑ <br />No* <br />Is l <br />■ <br />Yes <br />❑ <br />No* <br />WE <br />■ <br />Yes <br />❑ <br />No* <br />W4 <br />wil <br />❑ <br />Yes <br />❑ <br />No* <br />If <br />■ <br />N/A <br />op <br />■ <br />Yes <br />❑ <br />No* <br />Fo <br />❑ <br />N/A <br />me <br />po <br />■ <br />Yes <br />❑ <br />No* <br />Dh <br />❑ <br />Yes <br />❑ <br />No* <br />Fo <br />■ <br />N/A <br />mi <br />fill <br />❑ <br />Yes * <br />■ <br />No <br />W, <br />an <br />❑ <br />Yes * <br />■ <br />No <br />W, <br />(C <br />■ <br />Yes <br />❑ <br />No* <br />W <br />■ <br />Yes <br />❑ <br />No* <br />Is <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Page 2 of 3 <br />