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MONITWING SYSTEM CERTIMATION <br />CERTIFICATION /TEST DATE: June 8. 2012 <br />Al. FACILITY A2. OWNER <br />Name Tracy 76 - Reliance Gas Investments, Inc. Name Jivtesh Gill <br />Address 2420 W. Grantline Road, Tracy, CA 95337 Address 4855 South State Hwy 99, Stockton, CA 95215 <br />Phone # Phone # 209-948-2438 <br />Contact Jivtesh Gill Contact Jivtesh Gill <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Gilbarco EMC <br />Software Version Installed: 330.00 <br />Complete the following checklist: <br />■ Yes ❑ No* Is the audible alarm operational? <br />■ Yes <br />❑ No* <br />Is the visual alarm operational? <br />■ Yes <br />❑ No* <br />Were all sensors visually inspected, functionally tested, and confirmed operational? <br />■ Yes <br />❑ No* <br />Were all sensors Installed at lowest point of secondary containment and positioned so that other equipment <br />will not Interfere with their proper operation? <br />❑ Yes <br />❑ No " <br />If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g. modems) <br />■ N/A <br />operational? <br />■ Yes <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shutdown? (check all that app x sumps,annulars <br />■ Yes <br />❑ No <br />Did you confirm positive shut -down due to leaks and sensor fail ureldisconnection7 <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />■ N/A <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 * <br />❑ No <br />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 * <br />■ No <br />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 />■ Yes <br />❑ No* <br />Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports, If applicable. <br />■ Yes <br />❑ No * <br />Is all monitoring equipment operational per manufacturers specifications? <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Replaced CPU with new ECPU2 <br />Page 2 of 3 <br />