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Petro InO. 9 17759 Buttercup Circle, Sonora, CA 95370 Phone: 209-532-7320; Fax: 209-533-2650 California Tank Tester: 90-1068 California Contractor 623541 A-Haz alltech@mlode.com MONITORING SYSTEM CERTIFICATION Rogow A. General Information Facility Name: Mossdale Arco Date of Testing/Servicing: July 25, 2006 Facility Address: 444 Mossdale Rd., Lathrop CA Facility Contact Person: Nick Bokides Contact Phone No.: (209) 649-3808 LIA: San Joaquin; Ray von Flue Make/Model of Monitoring System: Veeder-Root TLS -350 B. Inventory of Equipment Tested/Certified: Check the appropriate boxes to indicatespecific a ui ment inspected/serviced: Tank ID: Regular Compartment Tank ID: Supreme Compartment ® In -Tank Gauging Probe. Model: Mag 1 ® In -Tank Gauging Probe. Model: Mag 1 ® Annular Space or Vault Sensor. Model: Float Switch (Shared) ® Annular Space or Vault Sensor. Model: (Shared) ® Piping Sump / Trench Sensor(s). Model: Liquid sensor ® Piping Sump / Trench Sensor(s). Model: Liquid sensor ❑ Fill Sump Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ® Mechanical Line Leak Detector. Model: Red Jacket XL ® Mechanical Line Leak Detector. Model: Vaporless LD -2000 ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: ® Tank Overfill / High -Level Sensor. Model: Drop Tube ® Tank Overfill / High -Level Sensor. Model: Drop Tube ❑ Other ❑ Other Tank ID: Diesel Compartment Tank ID: ® In -Tank Gauging Probe. Model: Mag 1 ❑ In -Tank Gauging Probe. Model: ® Annular Space or Vault Sensor. Model: Shared ❑ Annular Space or Vault Sensor. Model: ® Piping Sump / Trench Sensor(s). Model: Liquid sensor ❑ Piping Sump / Trench Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ❑ Fill Sump Sensor(s). Model: ® Mechanical Line Leak Detector. Model: Vaporless LD -2000 ❑ Mechanical Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: ❑ Electronic Line Leak Detector. Model: ® Tank Overfill / High -Level Sensor. Model: Drop Tube ❑ Tank Overfill / High -Level Sensor. Model: ❑ Other ❑ Other Dispenser ID: 1&2 ® Sump: ®Dry ❑Water ❑Product Dispenser ID: 3&4 ® Sump: ®Dry ❑Water ❑Product ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Shear Valve(s) (Functional test) ® Shear Valve(s) (Functional test) ❑ Dispenser Containment Floats and Chain(s). ❑ Dis enser Containment Floats and Chain(s). Dispenser ID: 5&6 ® Sump: ®Dry❑Water ❑Product Dispenser ID: 7&8 ® Sump: ®Dry❑Water ®Product ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Shear Valve(s) (Functional test) ® Shear Valve(s) (Functional test) ❑ Dispenser Containment Floats and Chain(s). ❑ Dispenser Containment Float(s) and Chain(s). Dispenser ID: 9&10 ® Sump: ®Dry ❑Water ❑Product Dispenser ID: 11&12 ® Sump: ®Dry❑Water ❑Product ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Dispenser Containment Sensor(s). Model: Liquid sensor ® Shear Valve(s) (Functional test) ® Shear Valve(s) (Functional test) ❑ Dispenser Containment Floats and Chain(s). ❑ Dis enser Containment Float(s) and Chain(s). C. Certification - I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (e.g. manufacturers' checklists) necessary to verify that this information is correct and a Plot Plan showing the layout of monitoring equipment. For any equipment capable of generating such reports, I have also attached a copy of the report; (check all that apply): ® System set-up ® Alarm history report Technician: k 1 Mike Dotten, California Contractor's License 623541 A-Haz Certification: Veeder-Root: 006-05-0789; Level 4. ICC UST Technician # 5259412 -UT Page 1 of 3 06/05