COMPLIANCE INFO_2013-2018 - Laserfiche WebLink

Home Browse Search

• • t -%1-n Ian MONITORING SYSTEM CERTIFICATIO "- jUL 26 2016 CERTIFICATION /TEST DATE: Jul 23, 2018 rv°Nli/q ,.,r. .. A1. FACILITY Name Quik Stop Market #144 Address 7272 West Lane, Stockton, CA 95210 Phone # 510-657-8500 Contact Roger Batra A2.OWNER Name Quik Stop Markets, Inc. Address 4567 Enterprise Street, Fremont, CA 94538 Phone # 510-657-8500 Contact Debbie Markovich 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 termination, including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ 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. G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. Complete the following checklist: ■ Yes ❑ No* ❑ N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (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? ■ Yes ❑ No* ❑ N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ Yes ❑ No * ■ N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ Yes ❑ No* ■ N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ?, ❑ 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? z F ■ 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 ® 2018 Watton Engineering, Inc. Page 3 of 3