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MONITORING SYSTEM CERTIFICATION <br /> CERTIFICATION / TEST DATE11 <br /> , September 17, 2018 <br /> %1 . FACILITY A2 . OWNER <br /> Name Teichert Mobile Equipment Name Teichert Construction <br /> Address 120 Frank Circle , Stockton, CA 95206 Address P. O. Box 15002, Sacramento, =96861 <br /> Phone # 916-366-6631 Phone # 9164864767 <br /> Contact Steve Schamaun Contact Steve Schamaun <br /> D . RESULTS OF TESTING / SERVICING <br /> Make / Model of Monitoring System : VeedermRoot TLS -350 SN <br /> Software Version Installed . 328 , 03 <br /> Complete the following checklist: <br /> I <br /> Yes ❑ No * 1 Is the audible alarm operational? <br /> Yes ❑ No * is the visual alarm operational? <br /> Yes ElNo * Were all sensors visually inspected, functionally tested, and confirmed operational ? <br /> Yes ❑ No * I Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> I will not interfere with their proper operation? <br /> Yes ❑ No * If alarms are relayed to a remote monitoring station , is all communications equipment (e. g. modems ) <br /> ❑ N/A operational? <br /> Yes I ❑ No * For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br /> EJ N/A monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes : which sensors initiate <br /> positive shutdown ? (check all that apply) N Sump/Trench sensors ; 0 Dispenser Containment Sensors. <br /> Yes ❑ No * I Did you confirm positive shut-down due to leaks and sensor failure/disconnection ? <br /> Yes W ❑ Nc * For tank systems that utilize the monitoring system as the primary tank overfill warning device ( i . e. no <br /> El N/A mechanical overfill prevention valve is installed), is the overfill warning alarm visible and audible at the tank <br /> fill point(s) and operating properly? If so, at what percent of tank capacity_does the alarm trigger? 50% <br /> ❑ Yes * No [ Was any monitoring equipment replaced? If yes, identify specific sensors, probes , or other equipment replaced <br /> * i and list the manufacturer name and model for all replacement parts in Section E, below. _ <br /> Yes ❑ No Was any liquid found inside any secondary containment systems designed as dry systems? <br /> Yes (Check all that apply) ❑ Product Water. If yes, describe causes in Section E below. <br /> Yes__ ❑_ No " I Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports, if applicable. <br /> ❑ No * Is all monitoring equipment operational per manufacturer's specifications ? <br /> " In Section E below, describe how and when these deficiencies were or will be corrected . <br /> E . COMMENTS <br /> Removed a small amount of water from the Waste Oil fill sump. <br /> © 2016 Walton Engineering, Inc. <br /> Page 2 of 3 <br />