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MONITU#ING SYSTEM CERTIFWATION CERTIFICATION /TEST DATE: Julv 16, 2010 Al. FACILITY ❑ No* A2. OWNER ■ Yes Name Quik Stop Market # 76 ■ Yes Name Quik Stop Markets, Inc. Address 1030 S. Olive Avenue, Stockton, CA 95215 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 ❑ No* Phone # 510-657-8500 Contact Michael Karvelot ■ Yes Contact Michael Karvelot D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Gilbarco EMC Software Version Installed: 327.04 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 ❑ 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 ❑ No* Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes ❑ No* 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? % ❑ 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 * ❑ 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 manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS The 87 product float failed hydro test due to cup being filled with dirt. The cup was cleaned and retested float. The 87 nad 91 STP sump had minor condensation. The water was pumped out and left in owners drum. The 87 fill sump had 9 gallons of rain water. The water was pumped out and left in owners drum. The 91 fill sump had 17 gallons of rain water. The water was pumped out and left in owners drum. Page 2 of 3