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MONITTRING SYSTEM CERTI <br />CERTIFICATION / TEST DATE: September 11, 2014 SEP 2 5 2014 <br />Al. FACILITY <br />Yes <br />A2. OWNER <br />No * <br />Name <br />Teichert Mobile Equipment <br />Yes <br />Name <br />Teichert Confit;j4"NA4FUTAL HEALTH <br />Address <br />120 Frank Circle, Stockton, CA 95206 <br />Yes <br />Address <br />P.O. Box 15002, Sacram btii Y :WME vT <br />Phone # <br />916-366-8631 <br />Yes <br />Phone # <br />916-386-3767 <br />Contact <br />Steve Schamaun <br />Yes <br />Yes <br />Contact <br />Steve Schamaun <br />F. IN -TANK GAUGING / SIR EQUIPMENT: <br />■ Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed If in -tank gaugung equipment is used to perform leak detection monitoring. <br />Complete the following checklist: <br />❑ <br />Yes <br />❑ <br />No * <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ <br />Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ <br />Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? C-2 Gasoline - 87 <br />❑ <br />Yes <br />❑ <br />No * <br />Was accuracy of system water level readings tested? <br />❑ <br />❑ <br />Yes <br />Yes <br />❑ <br />❑ <br />No * <br />No * <br />Were all probes reinstalled properly? <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />Page 3of3 <br />