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9 0 Alltech Petro Inc 17759 Buttercup Circle, Sonora, CA 95370 Phone: 209-532-7320; Fax: 209-533-2650 California Contractor 623541 A-Haz Mike@AlltechPetro.com Fli MONITORING SYSTEM CERTIFICATION A. General Information Facility Name:Tracy BP Service Center Date of Testing/Servicing:June 28,2007 Facility Address:2375 Tracy Blvd,Tracy CA 95376 Facility Contact Person:Huynh Linh Contact Phone No.:835-7755 Regulatory agency: San Joaquin Health;Inspector:Willy Ng;Phone:468-3448;Fax 468-3433 Make/Model of Monitoring System:Veeder-Root TLS-350 This test report is a:❑Final Report(Facility was observed to be in Compliance)or a C@ Preliminary Report(Unresolved Issues Exist) B. Inventory of Equipment Tested/Certified: Tank ID:Regular 87 Tank ID: 100 Racing •In-Tank Gauging Probe. Model:Mag 1 ®In-Tank Gauging Probe. Model:Mag 1 ®Annular Space or Vault Sensor. Model:Wrap Around Snake ®Annular Space or Vault Sensor. Model:Wrap Around Snake ®Piping Sump Sensor(s). Model:V-R Float Switch ®Piping Sump Sensor(s). Model:V-R Float Switch ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model: ®Mechanical Line Leak Detector. Model:FE Petro ®Mechanical Line Leak Detector. Model:FE Petro ❑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 Fills ill buckets tested OPass Fail Fills ill buckets tested SPass OFail Tank ID:Premium 91 Tank ID:Waste Oil ®In-Tank Gauging Probe. Model:Mag 1 ❑In-Tank Gauging Probe. Model:NONE ®Annular Space or Vault Sensor. Model:Wrap Around Snake ®Annular Space or Vault Sensor. Model:Wrap Around Snake ®Piping Sump Sensor(s). Model:V-R Float Switch ❑Piping Sump Sensor(s). Model:NONE ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model:NONE ®Mechanical Line Leak Detector. Model:Vaporless LD-2000 ❑Mechanical Line Leak Detector. Model:NONE ❑Electronic Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model:NONE ®Tank Overfill/High-Level Sensor. Model:Drop Tube ®Tank Overfill/High-Level Sensor. Model:Drop Tube Fills ill buckets tested 0Pass OFail Fills ill buckets tested OPass Fail Dispenser ID: 1&2®Sump:®Dry❑Water[]Product Dispenser ID:3&4®Sump:®Dry❑Water[]Product ®Dispenser Containment Sensor(s). Model:V-R Ultra ®Dispenser Containment Sensor(s). Model:V-R Ultra ®Shear Valve(s) (Functional test) ®Shear Valve(s) (Functional test) Dispenser Containment Floats and Chain(s). ❑Dispenser 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:V-R Ultra ®Dispenser Containment Sensor(s). Model:V-R Ultra ®Shear Valve(s) (Functional test) ®Shear Valve(s) (Functional test) Dispenser Containment Floats and Chain(s). 0 Dispenser Containment Floats and Chain(s). Dispenser ID: ❑Sump:❑Dry❑Water❑Product Dispenser ID: ❑Sump:❑Dry❑Water❑Product ❑Dispenser Containment Sensor(s). Model: ❑Dispenser Containment Sensor(s). Model: ❑Shear Valve(s) (Functional test) ❑Shear Valve(s) (Functional test) Dispenser Containment Floats and Chain(s). Dispenser Containment Floats 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: ffe;6 104&6!' Mike Dotten,California Contractor License.No.:623541 Certification:Veeder-Root:341-32-6743;Level 4. ICC UST Technician#5259412-UT Page 1 of 3 03/01