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MONIT' 'ZING SYSTEM CERTIr CATION <br /> CERTIFICATION /TEST DATE: Au ust 12, 2013 <br /> Al. FACILITY A2. OWNER <br /> Name 7-Eleven Market#2368/Store#17334 Name 7-Eleven, Inc <br /> Address 4501 North Pershing Street,Stockton,CA 95207 Address P.O. Box 711, Dallas,TX 75221 <br /> Phone# 209-951-6745 Phone# 805-523-2949 <br /> Contact Stephen Boyd Contact Stephen Boyd <br /> D. RESULTS OF TESTING /SERVICING <br /> Make / Model of Monitoring System: Veeder-Root TLS-350 <br /> Software Version Installed: 327.04 <br /> Complete the following checklist: <br /> ■ Yes ❑ No* Is the audible alarm operational? <br /> ■ Yes ❑ Nc " Is the visual alarm operational? <br /> ■ Yes ❑ No" Were all sensore visually Inspected,functionally tested,and confimsd operational? <br /> ■ Yes ❑ No• Were all sensors Installed at lowest point of secondary containment and posWoned so that other equipment <br /> will not Interfere with their proper operation? <br /> ■ Yes ❑ No" N slams are relayed to a remote monitoring station,Is all communications equipment(e.g.modems) <br /> ❑ WA operational? <br /> ■ Yes ❑ No• For pressurized piping systema,does the turbine automatically shut down If the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shutdown? (check all that apply) ■ Sump/Trench sensors; ■ Dispenser Containment Sensors. <br /> ■ Yes ❑ No" Did you confirm positive shut-down due to leaks and sensor failureldisconnection? <br /> ❑ YM ❑ No" For tank systems that utilize the monitoring system as the primary tank overfill warning device(1.e.no <br /> ■ WA mechanical overfill prevention valve Is Installed),Is the overfill warning alarm visible and audible at the tank <br /> fill point(s)and operating property? If so,at what percent of tank capacity does the alarm trigger? _% <br /> ❑ Yes• ■ No Was any monitoring equipment replaced? If yes,Identify specific"mom,probes,or other equipment replaced <br /> and Ilet the manufacturer name and model for all replacement parts in Section E,below. <br /> ❑ Yet• ■ No Was any liquid found Inside any secondary containment systems designed as dry systems? <br /> (Check all that apply) ❑ Product; ❑ Water. If yes,describe causes In Section E,below. <br /> Lr ■ yes ❑ No• Was monitoring s_ stem set-up review_ed. to Insure proper settings? Attach set-up reports,If applicable. <br /> ■ Yes ❑ No Is all monitoring equipment operational per manufacturer's specifications? <br /> ` In Section E below, describe how and when these deficiencies were or will be corrected. <br /> E. COMMENTS <br /> ©2010 Walton Engineanng,Inc. <br /> Page 2 of 3 <br />