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MONITORING SYSTEM CERTIFICAT10N JET®2017 CERTIFICATION /TEST DATE: June 9, 2017 Al. FACILITY ■ Yes ❑ No * A2. OWNER ■ Yes Name Quik Stop Market #125 ■ Yes Name Quik Stop Markets, Inc -r- r%01, T MENIT Address 1580 W. Main Street, Ripon, CA 95366 Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 ❑ No* ❑ N/A ❑ No* Phone # 510-657-8500 Contact Roger Batra ❑ Yes * contact Debbie Markovich .'r D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 SN# Software Version Installed: Complete the following checklist: " In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS Removed water from all fill sumps. ©2017 Walton Engineering, Inc. 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 interfere with their proper operation? ❑ Yes ❑ No* ■ N/A If alarms are relayed to 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 if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ■ Sum p/Trench sensors; [3 Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks an 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; ■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 L ❑ No* " In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS Removed water from all fill sumps. ©2017 Walton Engineering, Inc. 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 Removed water from all fill sumps. ©2017 Walton Engineering, Inc. Page 2 of 3