Laserfiche WebLink
A <br />MONITCTRING SYSTEM CERTIFICATION <br />CERTIFICATION I TEST DATE: Jul 30, 2018 <br />A1. FACILITY <br />A2. OWNER <br />Name Quik Stop Market *144 <br />name Quik Stop Markets, Inc. <br />Address 7272 West Lane, Stockton, CA 95210 <br />Address 4687 Enterprise Street, Fremont, CA 94538 <br />Phone i 110.867-eloo <br />Phone # 610.867-8600 <br />Contact Roger Berta <br />Contact Debbie Markovich <br />F. IN -TANK GAUGING / SIR EQUIPMENT: ■ Check this box If tank gauging Is used only for Inventory control <br />E: Check We box It no tank gauging or SIR equipment Is Installed. <br />This section trust be completed If in -tank gaugung equipment Is used to perform leak detection monitoring. <br />Complete the following checklist: <br />' Cl Yes <br />❑ No' Has a8 Input wiring boon Inspected far proper entry and termination, including testing for ground faults? <br />❑ Yes <br />❑ Na' Were as tank gauging probes visually Inspected for dame and resides buildup? <br />_.._ — -- - r <br />❑ Yes <br />u — <br />Q No Was accuracy of system product level readings tasted? <br />f.... ❑ Yea <br />❑ No `.__. Vitas accuracy of system water level readings tested? <br />Yes <br />© No Were all probes reinstalled property? <br />❑ Yes <br />❑ No Were all items on tht equipment manufacturer's maintenance checklist completed? <br />-- <br />' In Section H below, describe how and when these deficlencles were or wlii be corrected. <br />G. LINE LEAK DETECTORS (LLD): ❑ Cheek this box N LLI s are not Installed. <br />Complete the following checklist: <br />-------- <br />----------- <br />■ Yes <br />0 <br />❑ No' For equipment stilet -up or annual equipment certification, was a leak simulated to verify LLD performance? <br />Page 3 of 3 <br />