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MONITUVANG SYSTEM CERTIF ;ATION CERTIFICATION /TEST DATE: February 10 , 2010 Al. FACILITY Yes A2. OWNER No* Name 7 -Eleven Market #2368 /Store #19976 Yes Name 7 -Eleven, Inc Address 1399 N. Main Street, Manteca, CA 95336 Yes Address P.O. Box 711, Dallas, TX 75221 Phone# 209-239-3252 Yes Phone# 805-523-2949 Contact Jay Stemley Yes Contact Jay Stemley F. IN -TANK GAUGING / SIR EQUIPMENT: ❑ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and terminal ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No- Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance ch * In Section H below, describe how and when these deficiencies were or will be corrected. G. LINE LEAK DETECTORS (LLD): ❑; Check this box if LLDs are not installed. Complete the following checklist: ■ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (check all that apply) Simulated leak rate: ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. ■ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ■ Yes ❑ No* Was the testing apparatus properly calibrated? For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ Yes ❑ No* ■ N/A ❑ Yes ■ No* ❑ N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ Yes 0 No* ❑ N/A ❑ Yes ■ No* ❑ N/A For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system malfunctions or fails a test? ❑ Yes ■ No* ❑ N/A For electronic LLDs, have all accessible wiring connections been visually inspected? ■ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In Section H below, describe how and when these deficiencies were or will be corrected. H. COMMENTS The 87 MLLD was tested on inspector request. The 87 MLLD was replaced. Page 3 of 3