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MONIAKING SYSTEM CERTIf CATION CERTIFICATION /TEST DATE: September 19. 2012 Al. FACILITY Make / Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: A2. OWNER Complete the following checklist: Name Tracy 76 - Reliance Gas Investments, Inc. Is the audible alarm operational? Name Jivtesh Gill Address 2420 W. Grantline Road, Tracy, CA 95337 ■ Yes Address 4855 South State Hwy 99, Stockton, CA 95215 Phone # 209-948-2438 Phone # 209-948-2438 Contact Jivtesh Gill Contact Jivtesh Gill D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 Software Version Installed: 333.00 Complete the following checklist: ■ 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* If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g. modems) ■ N/A operational? ■ Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment ❑ N/A 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; ❑ Dispenser Containment Sensors. ■ Yes ❑ No* Did you confirm positive shut -down due to leaks and sensor failure/disconnection? ❑ Yes ❑ No * For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no ❑ WA 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; ❑ Water. If yes, describe causes In Section E, below. ■ Yes ❑ No * Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, If applicable. ■ Yes ❑ No* Is all monitoring equipment operational per manufacturers specifications? * In Section E below, describe how and when these deficiencies were or will be corrected. E. COMMENTS The 87 annular retested after being replaced. Inc. Page 2 of 3