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MONITSUNG SYSTEM CERTIFWATION <br />CERTIFICATION /TEST DATE: January 16, 2013 <br />Ai. FACILITY A2. OWNER <br />Name Tower Mart # 104 Name Tower Energy Group, Inc. <br />Address 192 Lathrop Road, Lathrop, CA 95330 Address 1983 West 190th Street, Torrance, CA 90504 <br />Phone # 209-858-4998 Phone # 916-285-7402 eat 100 <br />Contact Desiz Bums contact Mark Vasey <br />ID. RESULTS OF TESTING 1 SERVICING <br />Make 1 Model of Monitoring System: Veeder-Root TLS -350 <br />Software Version Installed: 327.04 <br />Complete the following checklist: <br />■ Yes ❑ No * Is the audible alarm <br />■ Yes ❑ No* Is the visual alarm c <br />■ Yes ❑ No * Were all sensors visually Inspected, functionally tested, and confirmed <br />■ Yes ❑ No * i Were all sensors Installed at lowest point of secondary containment and ositloned s *k-4 oth I <br />F] Yes <br />■ Yes <br />■ Yes <br />El Yes <br />❑ No * <br />■ NIA <br />❑ No* <br />El NIA <br />El No <br />171No* <br />■ NIA <br />p o a er equ pmem <br />will not Interfere with their proper operation? <br />If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g. modems) <br />operational? <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 fall uraid isconnection? <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 * ■ No 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 * ❑ No 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 />0 Yes ❑ No* Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports, If applicable. <br />■ Yes ❑ No* Is all monitoring equipment operational per manufacturer's specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Removed liquid from the diesel STP, diesel fill, and 87-1 fill sumps. <br />Page 2 of 3 <br />