Laserfiche WebLink
MONITORING SYSTEM CERTIFICATION MAY 0 4 2016 <br />CERTIFICATION /TEST DATE: April 18, 2016 <br />A1. FACILITY A2. OWNER ir,.,--", r 'Id. 4 rkp <br />Name Quik Stop Market #132 Name Quik Stop Markets, Inc. <br />Address 3555 W. Hammer Lane, Stockton, CA 95219 Address 4567 Enterprise Street, Fremont, CA 94538 <br />Phone # 510-657-8500 Phone # 510-657-8500 <br />Contact Roger Batra Contact Debbie Markovich <br />F. IN -TANK GAUGING / SIR EQUIPMENT: N 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 />* 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 />I'll <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. COMMENTS <br />Page 3 of 3 <br />Yes <br />❑ <br />No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />ElN/A <br />(check all that apply) Simulated leak rate: 3 g.p.h.; ❑ 0.1 g.p.h.; [1 0.2 g.p.h. <br />Yes <br />❑ <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />■ <br />Yes <br />❑ <br />No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />■ <br />N/A <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />■ <br />N/A <br />or disconnected? <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />■ <br />N/A <br />or fails a test? <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />■ <br />NIA <br />Yes <br />❑ <br />No* <br />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 />Page 3 of 3 <br />