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MONITOFWNG SYSTEM CERTIFIC:TIUN CERTIFICATION / TEST DATE: February 17, 2010 A2. OWNER Al. FACILITY Name Christina Gill Name Fast Lane Lathrop Address 116 E.Roth Road,Lathrop,CA 95330 Address 111 Healdsburg Avenue,Healdsburg,CA 9544 Phone# 707-431-0541 Phone# 707-431-0541 Contact Christina Gill Contact Christina Gill F. IN-TANK GAUGING 1 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 ❑ No* Were all probes reinstalled properly? cklist completed? ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance che * 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* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? ❑ NIA (check all that apply) Simulated leak rate: ■ 3 g.p•h•, 1-10.1 g.P•h.; ❑ 0.2 g.P•h. ■ Yes ❑ No* Were all LLDs confirmad operational antl accurate within regulatory requirements? ■ Yes ❑ No* Was the testing apparatus properly calibrated? ■ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ NIA ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ■ NIA disabletl ❑ Yes ❑ No* For electronic LLOs,does the turbine automatically shut off if any portion of the monitoring system is ■ NIA or disconnected? ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions ■ NIA or fails a testi ❑ Yes ❑ No" For electronic LLDs,have all accessible wiring connections been visually inspected? ■ NIA ■ 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 © 2006 Walton Engineering,Inc. Page 3 of 3