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a <br />MONIT ING SYSTEM CERTIFICATION <br />CERTIFICATION /TEST DATE: Ju 30, 2015 <br />Al. FACILITY <br />As. OWNER <br />Karoo Quik Stop Market $144 <br />Name Quik Stop Markets, Inc. <br />Address 7272 West Lane, Stockton, CA 98210 <br />Address 4887 Enterprise Street, Fremont, CA 84838 <br />Phone N 510.887.8800 <br />Phone M 61D4674600 <br />Contact —FZqqer Barts <br />Contact Debbie Morkovlch <br />D. RESULTS OF TESTING I SERVICING <br />Make I Model of Monitoring System: Vesder-Boot TLS -360 SN# 80282976505001 <br />Software Version installed: 327.04 <br />Complete the following checklist <br />_v <br />Yes ❑ the audible akm operational? <br />_ a■ No' <br />--- <br />■ Yes O No ' Is the visual alarm operational? 1 <br />■Yes ❑ No ' Were ail sensors visually _ lunctlonally tasted, and confirmed operational? <br />__-- ---- _ _ , Ih! <br />_ <br />❑ Yee ( ■ No ' Were sfl sensors installed at lowest point of secondary containment and posltlonod so that Dilor equipment <br />will not Interfere with their proper operation? <br />❑ Yee ❑ No ` ff alarms aro relayed to a remote monitoring station, is all communications equipment (e_g, moderns) <br />■ NCA Operstionai? <br />■ Yes ❑ No ` For pressurized piping systems, does the turbine automatically shut Clown If the piping secondary containment <br />❑ NIA monitoring system delocts a leek, foils to operate, or Is electrically disconnected? If yes: which sensors lnillate <br />positive shutdown? (check all that apply) ■ SunW`rroneh **mors, ■ Dispenser Containment Sensors. <br />■ Yds ❑ No ` - Did you confirm positive shut -down dee to leaps So sensor fallureidisconnaction? <br />❑ Yes 0 No * For tank systems that utilize the monitoring system as tial primary tank overfill warning device (i.e. no <br />■ NCA mechanical overfill prevention valve Is installed), Is the overfill warning alarm visible and audible at the tank <br />___■ fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />Yes' ❑ No Was any monitoring equipment replaced? If yes, Identify specific sensors, probes, or other equipment replaced <br />.. and list the manufacturer narne and model for all replacement parts to Section E below, <br />■ Yds ❑ No was any liquid found tnelds any secondary containment systems designed as dry systems? <br />:.. (Chock aN Ow aWY) ❑ Product, ■ Water. If yes, describe causes to iSection E, below. <br />■ Yes -� ❑ No ` Was monitoring system U_ <br />__ —_ set-up nvkrwsd to iruun proper settings? Attach set-up reports, I! applicable. <br />111111 Yes �❑ No ' Is all monitoring equipment operational per menufacturees specifications? <br />" In Section E below, describe how and when these deficiencles vmm or will be corrected. <br />E. COMMENTS <br />87 and 89 STP sump sensors were not at lowest point when we arrived. <br />We replaced the 91 annular sensor. <br />We removed liquid from all STP sumps. <br />We replaced the battery In the monitor. <br />r,ane rwRan e,ryp�ww,e, w,c. <br />Page 2 of 3 <br />