COMPLIANCE INFO_2013-2017 - Laserfiche WebLink

Home Browse Search

• MONITORING SYSTEM CERTIFICATION CERTIFICATION /TEST DATE: June 10, 2015 Al. FACILITY ❑ No * Is the audible alarm operational? A2. OWNER ❑ No* Name Quik Stop Market #125 ❑ No* Name Quik Stop Markets, Inc. Address 1580 W. Main Street, Ripon, CA 95366 Address 4567 Enterprise Street, Fremont, CA 9453B Phone # 510-657-8500 If slams are relayed to a remote monitoring station, is all communications equipment (e.g. modems) Phone # 510-657-8500 Contact Roger Batra ❑ No, Contact Debbie Markovich ID. RESULTS OF TESTING I SERVICING Make / Model of Monitoring System: Gilbarco EMC SN# 80850111805001 Software Version Installed: 330.01 Complete the following checklist: ■ 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* If slams are relayed to a remote monitoring station, is all communications equipment (e.g. modems) ■ NIA operational? ■ Yes ❑ No, For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment ❑ N/A monitoring system dotects a leak, falls to operate, or Is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that appl)l ■ Sump/Trench sensors; ❑ Dispenser Containment Sensors. ■ Yes ❑ No* Did you confirm positive shut -down due to leaks Ipj sensor failure/disconnection? ❑ Yes ❑ No * For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ■ N/A 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? _ % ❑ Yes * ■ No Was any monitoring equipment replaced? If yes, Identify speelfic 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) ■ 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 ❑ No * Is a8 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 battery on the monitor. Removed liquid from the diesel fill & STP, 87 fill & STP, and UDC 1-2. J11N 14 ?n1,�_— Page 2 of 3