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P.O.Box 4208 <br /> Sonora CA 95370 <br /> Ca:623541 A-Haz <br /> AlltechPet. <br /> Phone:209-532-7320 <br /> Compliance without Compromise Fax:209-533-2650 <br /> mail@alltechpetro.com <br /> Overfill Retest Report Form www.alltechpetro.com <br /> 1. FACILITY INFORMATION <br /> Facility Name: Arco 2093 Date of Testing: Wednesday,December 14,2011 <br /> Facility Address: 3425 Tracy Blvd.Tracy Ca <br /> Facility Contact: Daniel Phone:209-835-1605 <br /> Date Local Agency Was Notified of Testing: 12/09/2011 <br /> Name of Local Agency Inspector(if present during testing): Thuy Tran <br /> 2. TESTING CONTRACTOR INFORMATION <br /> Company Name: Alltech Petro Inc,P.O.Box 4208,Sonora CA 95370.(209)532-7320 <br /> Technician Conducting Test:Isaac Anderson <br /> Credentials': ®CSLB Contractor ® ICC Service Tech. ® SWRCB Tank Tester ❑Other(Specify) <br /> License Number(s): CA:623541 A-Haz ICC 8005930-UT SWRCB 09-1749 <br /> Software Version Installed:328.03 <br /> ® Yes ❑ No* Is the audible alarm operational? <br /> ® Yes ❑ No* Is the visual alarm operational? <br /> ® Yes ❑ No* Is the print function operational? <br /> ® Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational? <br /> ® Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not <br /> interfere with their proper operation? <br /> ® Yes ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modem)operational? <br /> ❑ N/A <br /> ® Yes ❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> ❑ N/A monitoring system detects a leak,fails to operate, or is electrically disconnected? If yes: which sensors initiate positive <br /> shutdown? (Check all that apply) ®Sump Sensors; ® Dispenser Containment Sensors. <br /> Did you confirm positive shutdown due to leaks and sensor failure/disconnection? ®Yes; ❑No. <br /> ®Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device, is the overfill warning <br /> ❑ N/A alarm visible and audible at the tank fill point(s) and operating properly? At what percent of tank capacity does the <br /> alarm trigger? 90% <br /> ❑ Yes* ® No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list <br /> the manufacturer name and model for all replacement parts in Section E below. <br /> ❑ Yes* ® No Was liquid found inside any secondary containment systems designed as dry systems? (Check all that apply)❑Product; <br /> ❑Water. If yes,describe causes in Section E,below. <br /> ® Yes ❑ No* Was monitoring system set-up reviewed to ensure proper settings?Attach set up reports,if applicable <br /> ® Yes I ❑ No* I Is all monitoring equipment operational per manufacturer's specifications? <br /> Comments — (include information on repairs made prior to testing,and recommended follow-up for failed tests), <br /> CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> I hereby certify that all the information contained in this report is true,accurate,and in full compliance with legal requirements. <br /> Today we performed a retest of the overfill alarm and audible alarm. On the original testing date these'items <br /> did not work properly. All tank gauges went into alarm at 90% and audible alarm was activated. <br /> Technician's Signature: +" Date:!12/14/11 <br />