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10/03/2007 22:50 FAX 2095332650 ALLTECII PETRO INC LIA SAN JOAQUIN Q001 17759 Buttercup Circle, Sonora, CA 95370 Phone: 209-532-7320; Fax: 209-533-2650 ` California Contractor 623541 A-Haz 1 alltech@getrocket.com MONITORING SYSTEM CERTIFICATION A. General Information Facility Name:Linden Associated Growers Date of Testing/Servicing:June 29,2007 Facility Address: 14175 E.Hwy 26,Linden CA 95326 Facility Contact Person: Charlie Busalacchi Contact Phone No.:209-9314800 Regulatory agency: San Joaquin Health;Inspector:Toua.Yang;Phone:468-3459;Fax 468-3433 Make/Model of Monitoring System: Veeder-Root ILS-250 E re ort is a:❑Prelimina Re rt nresolve�l Issues Exist or a: Final Re nrt(Facili was observed to be in Com liance D:Gasoline Compartment Tank ID:Diesel Compartmant ank Gauging Probe. Model:None ular Space or Vault Sensor, Model:.Float Switch ❑[n-Tank Gauging Probe, Model:None ng Sump Annular Space or Vault Sensor. Model:Shared with Gas side Model:None ❑Piping Sump Model:None Sump Sensor(s)_ Model:None ❑Fill Sum Sensor(s). hanical Line Leak Detector. Model:None PModel:None tronic Line Leak Detector. Madel:Nonc ❑Mechanical Line Leak Detector. Model:None k 0ve>ftt/High Level Sensor. Model:Drop Tube ❑Electronic Line beak Detector. Model:None pill buckets tested ®Pass ❑Fail ®Tank Overfill r High-Level Sensor. Modes:Drop Tube r 0 Fillspill buckets tested ®Pass ❑Fail ❑Other Tank 1D: Tank ID: ❑In-Tank Gauging Probe. Model: ❑Annular Space or Vault Sensor. Model: ❑In Annular Gauging Probe. Model: ❑Piping Sump ❑Annular Space or Vault Sensor, Model: Model: ❑Piping Sump ❑Fill Sump Sensor(s). Model: Model: ❑Mechanical Line Leak Detector. Model: ©Fill Sump Sensor(s). Model: ❑Electronic Line Leak Detector. Model: ❑Mechanical Line Leak Detector. Model: ❑Tank Overfill/High-Level Sensor. Model: ❑Electronic Line Leak Detector. Model: Ej Fillspill buckets tested ❑Tam Overfill 1High-level Sensor. Model: ❑Pass []Fail ❑Fillspill buckets tested []pass Other ❑Fail ❑Other Dispenser ID:Gas®Sump:®Dry❑Water❑Product Dispenser ID:Diesel ®Dispenser Containment Sensor(s). Model:Float SW. 208 Sump:®Dry❑Water❑Product ( ) ®Dispenser Containment Senses{))_ Model:Float Switch(208) [�Shear Valve(s) (Functional test) ❑ DispenserFShear Containment Float(s)and Chain_ ❑Shear Valve(s) iFunctional test) ❑Dis enser Containment Float() and Chain() . r 1D: ❑Sump:❑Dry❑Water❑Product Dispenser ID: ser Containment Sensor()}. Model: ❑Sump:�DrS ❑Water❑Product ®Dispenser Containment Sensor(s). Model. Valve(s) (Functional test) ser Containment Float(s)and Chain(s). El Shear Valve(s) (Functional test} ❑Dispenser Containment Float(s)and Chain(s). 1D: ❑Sump.❑Dry❑Water Product ❑ Dispenser 1D: [3 Sump:❑Dry❑Water❑Product ser Containment Sensor(s). Model: ❑Dispenser Containment Sensor()), Model: Valves) (Functional test) ser Containment Float(s)and Chain(s). ❑Shear Valve()) (Functional test) ❑Dis enser Containment Float(%)and Chain(s). C. Certification - 1 certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information(e.g, manufacturers' checklists)necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports,I have also a y of t o port;(check all that apply). E]System set-up ❑Alarm history report Technician: Mike Dotten,California Contractor License.No.:623541 Certification: Veeder-Root:A23046;Level 4. ICL;UST Technician #5259412 Page I of 3 03!01