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MONITOF4WG SYSTEM CERTIFI*TION <br />CERTIFICATION /TEST DATE- January4 2017 I <br />Al. FACILITY <br />A2. OWNER <br />Name Colonial Energy #40135 <br />Name Colonial Energy, LLC. <br />192 Lathrop Road, Lathrop, CA 95330 <br />Address 2860 N. Santiago Blvd. 2nd Floor, Orange, CA 92867 <br />Address <br />Phone# 209-858-4998 <br />Phone# 714.761-5426 <br />Contact Station Manager <br />Contact Victor Hassan <br />F. IN -TANK GAUGING / SIR EQUIPMENT: ■ 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 />No" Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ No` Were all tank gauging probes visually Inspected for damage and residue buildup?No' <br />Was accuracy of system product level readings tested?No <br />r❑ <br />` Was accuracy of system water level readings tested? <br />❑ No' Were all probes reinstalled properly?❑ <br />No " 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 />G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed. <br />Complete the following checklist: <br />M Yes ❑ No" For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ NIA (check all that apply) Simulated leak rate: M 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. <br />■ Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />■ Yes <br />❑ No" <br />- <br />Was the testing apparatus properly calibrated? - - <br />❑ Yes <br />❑ No ` <br />For mechanical LLDs, does the LLD restrict product flow if It detects a leak? <br />N NIA <br />For electronic LLDs, does the turbine automatically shut off If the LLD detects a leak? <br />Yes <br />❑ No" <br />❑ NIA <br />Yes <br />❑ No" <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ NIA <br />or disconnected? <br />Yes <br />❑ No" <br />For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system malfunctions <br />❑ NIA <br />or fails a test? <br />■ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually Inspected? <br />❑ NIA <br />■ Yes ❑ No* Were all items on the equipment manufacturers maintenance checklist completed? <br />` In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. COMMENTS <br />02017 Walton Engineering, Inc. <br />Page 3 of 3 <br />