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Jul 26 06 08:35p Mike Dotten 209-533-2650 p.1 AlItech Petro Inc. 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 1171 MONITORING SYSTEM CERTIFICATION A. General Information Facility Name: Mossdale Arco Date of Testing/Servicing: July 259 2006 Facility Address: 444 Mossdale Rd., Lathrop CA Facility Contact Person: Nick Bokides Contact Phone No.: (209) 649- LIA: San Joaquin; Ray von !Flue Make/Model of Monitoring System: Veeder-Root TLS -350 B. Inventory of Equipment Tested/Certified: Check the appiropriatc boxes to indicates 62 a u% went ins tedhcrviced: Tank ID: Regular Compartment Tank ID: Supreme Compartment ® In -Tank Gauging Probe. ® Annular Space or Vault Sensor. Model: Mag 1 Model: Float Switch (Shared) ® In -Tank Gauging Probe. ® Annular Space or Vault Sensor. Model: Mag 1 ® Piping Sump / Trench Sensor(s). ❑ Fill Sump Smsor(s). Model: Liquid sensor Model: ® Piping Sump / Trench Sensor(s). Model: (Shared) Model: Liquid sensor ® Mechanical Line Leak Detector. ❑ Electronic Line Leak Detector. Model: Red Jacket XL ❑ Fill Sump Sensor(s). ® Mechanical Line Leak Detector. Model Model: Vaporless LD -2090 ® Tank Overfill / High -Level Sensor. Model: Model: Drop Tube ❑ Electronic Line Leak Detector. ® Tank Overfill / High -Level Sensor. Model" Model: Drop Tube ❑ Other ❑ Other Tank ID: Diesel Compartment Tank ID: ® In -Tank Gauging Probe. 0 Annular Space or Vault Sensor. Model: Mag 1 Model. Shared ❑ In -Tank Gauging Probe. ❑ Annular Space or Vault Sensor. Model: ® Piping Sump /Trench Sensor(s). ❑ Fill Sump Sensor(s). Model: Liquid sensor Model: ❑ Piping Sump / Trench Senson(s). Model: Model: ® Mechanical Line Leak Detector. Model: Vaporless LD -2009 ❑ Fill Sump Sensor(s). ❑ Mechanical Line Leak Detector. Model: Model: ❑ EIectronic Line Leak Detector. Tank Overfill / High -Level Sensor. Model: Model: Drop Tube ❑ Electronic Line Leak Detector. ❑ Tank Overfill / High -Level Sensor. Model: Model: ❑ Other : 1&2 ® Sump: ®Dry ❑Water ❑Product ontainment Scnsor(s). Model: Liquid Dispenser ID: 3&4 N Sump: ®Dry ❑Water ❑Product rDispentser (Functional test) sensor ® Dispenser Containment Sensor(s). ® Shear Valves) (Functional test) Model. Liquid sensore(s) ontainment Floa s and Chain(s). ❑ Di ser Containment Floa s and Chains . : 5&6 0 Sump: ®pry ®Water ❑Product ® Dispenser Containment Sensor(s). Model: Liquid Dispenser ID: 7&8 ® Sump: ®Dry []Water JZProduct ® Shear Valve(s) (Functional test) sensor ® Dispenser Containment Sensor(s). ® Shear Valve(s) (Functional test) Model: Liquid sensor ❑ Dispenser Containment Float(s) and Chain(s). LQ Dis enser Containment FLow(q and Chains . Dispenser IID: 9&10 ® Sump: 0Dry ® Dispenser Containment Sensor(s). ❑Water ❑Product Model: Liquid Dispenser ID: 11&12 ® Sump: ®Dry ❑A ater []Product ®Shear Valve(s) (Functional test) sensor ® Dispenser Containment Sensor(s). ® Shear Valves) (Functional test) Model: Liquid sensor ❑ Dispenser Containment Floats and Cha' s . ❑ Di nser Containment Floats and Ch " 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- :2��~Mike Dotten, California Contractor's License 623541 A -Raz Certification: Veeder-Roots 006-05-0789; Level 4. ICC UST Technician # 5259412 -UT Page 1 of 3 06MS