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aa --.-- r.. <br />MONITORING SYSTEM CERTIFICATI , <br />CERTIFICATION /TEST DATE: July 23, 2018 .JUL 26 2018 <br />Al. FACILITY <br />Name Quik Stop Market #144 <br />Address 7272 West Lane, Stockton, CA 95210 <br />Phone # 510-657-8500 <br />Contact Roger Batra <br />A2. OWNER ENVIRONMENTAL. <br />Name Quik Stop Markets, IncHEALTH r'jF- . F) MFNT <br />Address 4567 Enterprise Street, Fremont, CA 94538 <br />Phone # 510-657-8500 <br />Contact Debbie Markovich <br />�. . <br />D. RESULTS OF TESTING I SERVICING <br />Make / Model of Monitoring System: Veeder-Root TLS -350 SN# 60282976505001 <br />Software Version Installed: 327.04 <br />Complete the following checklist: <br />■ Yes ❑ No* Is the audible alarm operational? <br />■ Yes <br />❑ No* <br />Is the visual alarm operational? <br />d ■ Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />■ Yes <br />❑ No* <br />Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br />will not interfere with their proper operation? <br />❑ Yes <br />❑ No* <br />■ N/A <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) <br />operational? <br />■ Yes <br />■ Yes <br />❑ No* <br />❑ NIA <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />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 />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? <br />❑ Yes <br />■ No* <br />❑ N/A <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br />fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? % <br />❑ Yes * <br />■ No <br />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 * <br />■ No <br />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 <br />❑ No* <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />■ Yes <br />❑ No* <br />Is all monitoring equipment operational per manufacturers specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />2018 Walton Engineering, Inc. <br />Page 2 of 3 <br />