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MONITOF�IG SYSTEM CERTIFICATION <br /> CERTIFICATION 1 TEST DATE: February 17, 2010 <br /> A2, OWNER <br /> Al. FACILITY Name Christina Gill <br /> Name Fast Lane Lathrop <br /> Address 116 E.Roth Road,Lathrop,CA 95330 Address 111 Healdsburg Avenue,Healdsburg,CA 95448 <br /> 707-431-0541 Phone# 707-431-0541 <br /> Phone# Contact Christina Gill <br /> Contact Christina Gill <br /> I. RESULTS OF VACUUMIPRESSURE MONITORING EQUIPMENT TESTING <br /> Make I Model of Monitoring System: Veeder-Root TLS-350 <br /> System Type: ❑ Pressure ❑ Vacuum. v� <br /> SensorlD <br /> Components)Monitored by this Sensor: 31 want <br /> S5 Sensor Functionality Test Result: ■ Pass; ❑ Fail Interstitial Communication Test Results: ■ Pass; ❑ Fail <br /> Components)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; [I Fail Interstitial Communication Test K-5-5. ❑ Pass; Fail <br /> Component(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Components)Monitored by this Sensor: <br /> Sensor Functionality Test Result: ❑ Pass; ❑ Fail interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: _ Fail <br /> Sensor Functionality Test Result: El Pass; ❑ Fail Interstitial Communication Test Results: Pass; [IComponent(s)Monitored by this Sensor: <br /> Sensor Functionality Test Result: [1 Pass; ❑ Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Component(s)Monitored by this Sensor: Fail <br /> Sensor Functionality Test Result: [I Pass; ❑ Fail Interstitial Communication Test Results: [I Pass; El <br /> Components)Monitored by this Sensor: <br /> Fail Interstitial Communication Test Results: ❑ Pass; ❑ Fail <br /> Sensor Functionality Test Result: 11 Pass; ❑ — <br /> How was interstitial communication verified? <br /> Gauge: ❑ Visual Inspection: ■ Othebeoeeeribe In sec.J,below) <br /> 71 Leak Introduced at Far End of Interstitial Space:, ❑ <br /> Vacuum was restored to operating levels in all interstitial spaces: ■ Yes El No(If no,describe In Sec J,below) <br /> J. COMMENTS <br /> Tested vacuum sensor at the test port. <br /> a simWa,ea va uum/pressure leak'tr aaucea in Itis Interstitial space a the l ourNuA ce <br /> meat point from the sensor.vacupresshas en demonstratea,o be communicating IhrovyhoN the Interstice <br /> t I the sensor successfully detects . <br /> 172005 Walton Engineering.Inc. Page 3a of 3 <br /> 4 <br />