COMPLIANCE INFO_2009-2010 - Laserfiche WebLink

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MONITC*ING SYSTEM CERTIFfATION CERTIFICATION /TEST DATE: March 29, 2010 Al. FACILITY ❑ Yes ❑ No* A2. OWNER ❑ Yes Name CRLLC #2705446 ❑ Yes Name Pacific Convenience and Fuels, LLC Address 1403 Country Club Blvd., Stockton, CA 95204 Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? Address 2603 Camino Ramon, Ste 350, San Ramon, CA 94583 Phone # 209-943-2082 ❑ No* ❑ N/A ❑ No * Phone # 925-884-0827 contact Belinda Sawyer ❑ Yes ' contact Compliance Officer ❑ Yes " ❑ No Was any liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; El Water. If yes, describe causes in Section E, below. ❑ Yes D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: 329.01 Complete the following checklist: * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS This is a retest of the 87 MLLD after replacement. Page 2 of 3 ❑ Yes ❑ No* Is the audible alarm operational? ❑ Yes ❑ No* Is the visual alarm operational? ❑ Yes ❑ No* Were all sensors visually inspected, functionally tested, and confirmed operational? ❑ Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not interfere with their proper operation? ❑ Yes ❑ No* ❑ N/A If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) operational? ❑ Yes ❑ Yes ❑ No* ❑ N/A ❑ No * For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ❑Sump/Trench sensors; El Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes ❑ No* ❑ N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? ❑ Yes ' ❑ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts in Section E, below. ❑ Yes " ❑ No Was any liquid found inside any secondary containment systems designed as dry systems? (Check all that apply) ❑Product; El Water. If yes, describe causes in Section E, below. ❑ Yes ❑ No* Was monitoring system set-up reviewed to insure proper settings? Attach set-up report * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS This is a retest of the 87 MLLD after replacement. Page 2 of 3 s, if applicable. ❑ Yes ❑ No' Is all monitoring equipment operational per manufacturer's specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS This is a retest of the 87 MLLD after replacement. Page 2 of 3