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MONITC@ING SYSTEM CERTIFWATION <br />CERTIFICATION /TEST DATE: August 22, 2011 <br />Al. FACILITY <br />■ Yes <br />A2. OWNER <br />Is the audible alarm operational? _ <br />Name <br />Quik Stop Market #138 <br />Is the visual alarm operational? <br />Name <br />Quik Stop Markets, Inc. <br />Address <br />1153 Lincoln Blvd., Tracy, CA 95376 <br />❑ No* <br />Address <br />4567 Enterprise Street, Fremont, CA 94538 <br />Phone # <br />510-657-8500 <br />■ Yes <br />■ Yes <br />Phone # <br />510-657-8500 <br />Contact <br />Michael Karvelot <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />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 />Contact <br />Michael Karvelot <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Gilbarco EMC <br />Software Version Installed: 329.01 <br />Complete the following checklist: <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Removed a small amount of water from all three STP sumps. <br />Removed 49 gallons of water from the 87 fill sump. <br />Removed 40 gallons of water from the 89 fill sump. <br />Removed 7 gallons of water from the 91 fill sump. <br />Page 2 of 3 <br />■ Yes <br />❑ No * <br />Is the audible alarm operational? _ <br />■ Yes <br />❑ No* <br />Is the visual alarm operational? <br />■ Yes <br />❑ No <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />■ Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their proper operation? <br />❑ Yes <br />❑ No " <br />■ N/A <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) <br />operational? <br />■ Yes <br />■ Yes <br />❑ No " <br />❑ N/A <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shutdown? (check all that apply) ■Sump/Trench sensors; [I Dispenser Containment Sensors. <br />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? <br />❑ Yes <br />❑ No* <br />■ N/A <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />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 " <br />■ No <br />Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced <br />and list the manufacturer name and model for all replacement parts in Section E, below. <br />■ Yes' <br />❑ No <br />Was any liquid found inside any secondary containment systems designed as dry systems? <br />(Check all that apply) El Product; ■Water. If yes, describe causes in Section E, below. <br />■ Yes <br />❑ No* <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />■ Yes <br />❑ No' <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Removed a small amount of water from all three STP sumps. <br />Removed 49 gallons of water from the 87 fill sump. <br />Removed 40 gallons of water from the 89 fill sump. <br />Removed 7 gallons of water from the 91 fill sump. <br />Page 2 of 3 <br />Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Removed a small amount of water from all three STP sumps. <br />Removed 49 gallons of water from the 87 fill sump. <br />Removed 40 gallons of water from the 89 fill sump. <br />Removed 7 gallons of water from the 91 fill sump. <br />Page 2 of 3 <br />