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MONIT40ING SYSTEM CERTHWATION <br />CERTIFICATION /TEST DATE: February7,2014 <br />A1. FACILITY A2. OWNER <br />Name Olympian # 427 Name Flyers Energy LLC. <br />Address 3300 Waterloo Road, Stockton, CA 95205 Address 2360 Lindbergh Street, Auburn, CA 95602 <br />Phone # 530-885-0401 Phone # 530-885-0401 <br />Contact Amanda Appelt Contact Amanda Appelt <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Veeder-Root TLS -350 SN# 61240880105001 <br />Software Version Installed: 329.01 <br />Complete the following checklist: <br />❑ Yes <br />❑ No* <br />Is the audible alarm operational? <br />❑ Yes <br />❑ No * <br />Is the visual alarm operational? <br />❑ Yes <br />❑ No* <br />Were all sensors visually inspecto <br />❑ Yes <br />❑ No* <br />Were all sensors installed at [owes <br />will not interfere with their proper 4 <br />❑ Yes <br />❑ No* <br />If alarms are relayed to a remote m <br />❑ N/A <br />operational? <br />❑ Yes <br />❑ No* <br />For pressurized piping systems, do <br />❑ N/A <br />monitoring system detects a leak, 1 <br />positive shutdown? (check all that <br />❑ Yes <br />❑ No* <br />Did you confirm positive shut-dowi <br />❑ Yes <br />❑ No* <br />For tank systems that utilize the m <br />❑ N/A <br />mechanical overfill prevention valy <br />fill point(s) and operating properly', <br />❑ Yes * <br />❑ No <br />Was any monitoring equipment rep <br />and list the manufacturer name anc <br />❑ Yes * <br />❑ No <br />Was any liquid found inside any se <br />(Check all that apply) ❑ Product; <br />❑ Yes <br />❑ No* <br />Was monitoring system set-up revi <br />El Yes <br />❑ No *7 <br />Is all monitoring equipment operati <br />- In Section E below, describe how and when these deficiencies were or will be corrected. <br />JE. COMMENTS <br />Tested floats and chains after dispenser upgrade. <br />Page 2 of 3 <br />