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MONITC ZING SYSTEM CERTIF;ATION <br /> CERTIFICATION /TEST DATE: July 26, 2012 <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: <br /> Complete the following checklist: <br /> ■ Yes ❑ No' Is the audible alarm operational? _ <br /> ■ Yes ❑ No. Is the visual alarm operational? <br /> ■ Yes ❑ No• Were all sensors visually Inspected,functionally tested,and confirmed operational? <br /> ■ Yale ❑ Noe Were all sensors Installed at lowest point of secondary containment and positioned so that other equipment <br /> will not Interfere with Moir proper operation? <br /> ❑ Yes ❑ No' N alarms are relayed to a remote monitoring station,Is all communications equipment(e.g.modems) <br /> ■ WA operational? <br /> ■ Yale ❑ No' For pressurized piping systems,doss the turbine automatically shut down If the piping secondary containment <br /> ❑ WA monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shutdown? (check all that apply) ■ SumplTrench sensors; ❑ Dispenser Containment Sensors. <br /> ■ YM ❑ No' Did you confirm positive shut-down due to leaks and sensor fallureldisconnection? <br /> ❑ Yes ❑ No' For tank systema that utilize the monitoring system as the primary tank overfill waming device(l.s.no <br /> ■ WA mechanical overfill prevention valve is Installed),Is the overfill warning alarm visible and audible at the tank <br /> fill point(*)and operating properly? If so,at what percent of tank capacity does the alarm trigger? _% <br /> ■ Yes• ❑ No Was any monitoring equipment replaced? If yes,Identify specific sensors,probes,or other equipment replaced <br /> and list the manufacturer name and model for all replacement parts In Section E,below. <br /> ❑ Yes' ■ 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 /> ■ Yes ❑ No Was monitoring system set-up reviewed 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 /> Replaced the 91 sump sensor with a 208 sensor and retested with Inspector present <br /> 02012 Walton Engineering,Inc. <br /> Page 2 of 3 <br />