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MONITORING T CERTIFICATION,,,,,.,' CERTIFICATION /TEST DATE: August 09, 2017 F7;77,77 A1. FACILITY A2. OWNER `' " Name Quik Stop Market #138 Name Quik Stop Markets, Inc Address 1153 Lincoln Blvd., Tracy, CA 95376 Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 Phone # 510-657-8500 Contact Roger Batra Contact Debbie Markovich D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: 329.01 Complete the following checklist: * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS Replaced 87 Fill adapter and fill cap due to leaks. Replaced 208 in 91 STP. It fell apart while moving it. Page 2 of 3 ■ 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 inter• fere with their proper operation? ❑ Yes ❑ No* N/A If alarms are relayed 4o a remote monitoring station, is all communications equipment (e.g. modems) operational? Yes Yes ❑ No* ❑ N/A ❑ No* For pressurized piping systems, does the turbine automatically shut down it the piping secondar• y containment 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; E] Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? • Yes ❑ No* ❑ N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no 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? 90% ■ 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) [I Product; El 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* * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS Replaced 87 Fill adapter and fill cap due to leaks. Replaced 208 in 91 STP. It fell apart while moving it. Page 2 of 3 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 Replaced 87 Fill adapter and fill cap due to leaks. Replaced 208 in 91 STP. It fell apart while moving it. Page 2 of 3