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Aug 11 06 03:34p Mike Dotten -533-2650 p.2 r AlItech Petro ` 17759 Buttercup Circle, Sonora, CA 95370 Phone: 209-532-7320; Fax: 209-533-2650 California Contractor 623541 A-Haz Mike@AlltechPetro.com MOMTORING SYSTEM CERTMCATION A. Generallnformation Facility Name:Hammer 1-5 Arco Date of Testing/Servicing:August 9,2046 Facility Address:3250 Hammer Lane,Stockton CA 95209 Facility Contact Person:Wes Parkinson Contact Phone No.:474-9125 Regulatory agency:San Joaquin Health;Inspector:Willy Ng;Phone: 468-9847;Fax 468-3433 Make/Model of Monitoring System:Veeder-Root TLS-350 This test report is a:0 Final Report(Facility was observed to be in Compliance)or a❑Preliminary Report(Unresolved Issues Exist) B. Inventom of EguipMent Tested/Cerdfied: Task ID:Regular NLmdw Tank ID:Regular Skave ®In-Tank Gauging Probe. Model:Mag i In-Tank Gauging Probe. Model"Mag i ®Annular Space or Vault Sensor. Model:Wrap Around Annular Space or Vault Sensor. Model:Wrap Around ®Piping Sump Sensor(s). Model:Float Switch ®Piping Sump Sensor(s). Model:Float Switch ❑Fill Sump Sensor(* Model:NONE ❑Frill Sump Sensor(s). Model:NONE ®Mechanical Line Leak Detector. Model:Red Jacket ❑Mechanical Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model:NONE ❑Electronic Line Leak Detector. Model:NONE ®Tank Overfill/High-Leve]Sensor. Model:Drop Tube ®Tank Overfill/High-Level Sensor. Model:Drop Tube ®Fill ill buckets tested ®Pass ®Fail ®Fill ill buckets tested ®Pass ®Fail Tank ID:Premium Tank ID: ®In Tank Gauging Probe. Model:Mag 1 ❑In-Tank Gauging Probe. Model: ®Annular Space or Vault Sensor. Model:Wrap Around ❑Annular Space or Vault Sensor. 1: ®Piping Sump Sensor(s). Model:Float Switch ❑Piping Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model:NONE ❑Fill Sump r(s). Model: ED Mechanical Line Leak Detector. Model:FE Petro ❑Mechanical Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model:NONE ❑Electronic Line Leak Detector. Model: ®Tank Overfill/High-Level Sensor. Model:Drop Tube ❑Tank Overfill/High-Level Sensor. Model: ®Fillspill buckets tested ®Pass []Fail ❑Fillspill buckets tested []Pass,[]Fail Dispenser ID: 1&2®Sump:®Dry®Water®Product Dispenser M.3&4® Sump:ZDry[]Water®Product Q Dispenser Containment Sensor(s). Model:Bravo Box ❑Dispenser Containment Sensar(s� Model:Bravo Box ®Shear Valve(s) (Functional test) ®Shear Valve(s) (Functional test) ®D' cnser Containment Floats) and Chains . ® ser Containmentfioa s and Ch ' s . Dispenser ID:5806®Sump: ®Dry®Water®Product Denser ID:7&8®Sump:®Dry❑water[]Product ❑Dispenser Containment Sensor(s). Model:Bravo Box ❑Dispenscr Containment Sensor(s). Model:Bravo Box ®Shear Valvc(s) (Functional test) ®Shear Valve(s) (Functional test) ®Di enser Containment Floatfsj and Chains . ® . user Containment Floa s and Cham s . Dispenser ID: ❑Sump:[]Dry[]Water[,)Product Dispenser ID: ❑Sump:[]Dry❑Water[]Product ❑Dispenser Containment Sensor(s). Model: ❑Dispenser Containment Sensor(s). Model: Q Shear Valve(s) (Functional test) ❑Shear Valve(s) (Functional test) ❑Di ser Containment FloLitQsand Chains. ❑DiffContainment s and Chains. C. Ceramcation-I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' guidelines. Attached to this Certification is information (a.& 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; (cheek aU that apply): ®System set-up ®Alarm history report Technician: :T&& Mille Dotten,California Contractor License.Na: 623541 Certification:Veeder-Root:341-32-6743,Level 4. ICC UST Technician#5259412-UT Page 1 o13 03101