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MONITQSING SYSTEM CERTIFWATION <br /> CERTIFICATION / TEST DATE: February 29, 2008 <br /> Al. FACILITY A2. OWNER <br /> Name 7-Eleven Market#2368/Store#32190 Name 7-Eleven, Inc <br /> Address 4943 South State Route 99,Stockton,CA 95206 Address P.O.Box 711,Dallas,TX 75221 <br /> Phone# 209-939-0679 Phone# 805-523-2949 <br /> Contact Jay Stemley Contact Shane Partridge <br /> F. IN-TANK GAUGING /SIR EQUIPMENT: ■ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gaugung equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No' Has all Input wiring been Inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No' Were all probes reinstalled properly? <br /> ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> ` In Section H below, describe how and when these deficiencies were or will be corrected. <br /> G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ■ Yes ❑ No` For equipment start-up or annual equipment certification,was a.leak simulated to verify LLD performance? <br /> ❑ NIA (check all that apply) Simulated leak rate: ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. <br /> ■ Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ■ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ■ N/A <br /> ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ NIA <br /> ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system Is disabled <br /> ❑ N/A or disconnected? <br /> ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/A or falls a test? <br /> ■ Yes ❑ No' For electronic LLDs,have all accessible wiring connections been visually Inspected? <br /> ❑ N/A <br /> ■ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H below, describe how and when these deficiencies were or will be corrected. <br /> H. COMMENTS <br /> This is a MSC modification test after ISD installation and cold start. <br /> 2006 Walton Engineering,Inc. <br /> Page 3 of 3 <br />