COMPLIANCE INFO_2017-2018 - Laserfiche WebLink

Home Browse Search

CERTIFICATION /TEST DATE: August 09, 2017 n i4r=; A1. FACILITY A2. OWNER Name Quik Stop Market #138 Name Quik Sto Address 1153 Lincoln Blvd., Tracy, CA 95376 Address 4567 Enterprise Street,"Fremont,'CA 9468 Phone # 510-657-8500 Phone # 510-657-8500 Contact Roger Batra Contact Debbie Markovich F. IN -TANK GAUGING / SIR EQUIPMENT: 0 Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: * In Section H below, describe how and when these deficiencies were or will be corrected. 'G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: Yes ❑ No * For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No * Were all probes reinstalled properly? ❑ Yes ❑ No * Were all items on the equipment manufacturer's maintenance checklist completed? ■ N/A * In Section H below, describe how and when these deficiencies were or will be corrected. 'G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: * In Section H below, describe how and when these deficiencies were or will be corrected. IH. COMMENTS Page 3 of 3 Yes ❑ No * For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ NIA (check all that apply) Simulated leak rate: 0 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? Yes ❑ No* Was the testing apparatus properly calibrated? Yes ❑ No * For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ■ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled NIA or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ■ N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ■ N/A ■ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In Section H below, describe how and when these deficiencies were or will be corrected. IH. COMMENTS Page 3 of 3