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MONITIMING SYSTEM CERTIF17CATION LAN! 1 1 ?OiS CERTIFICATION /TEST DATE: January5, 2016 Al. FACILITY A2. OWNER - Name Colonial Energy #40135 Name Colonial Energy, LLC. Address 192 Lathrop Road, Lathrop, CA 95330 Address 2860 N. Santiago Blvd. 2nd Floor, Orange, CA 92867 Phone # 209-858-4998 Phone # 714-761-5426 Contact Station Manager Contact Victor Hassan D. RESULTS OF TESTING / SERVICING Make / Model of Monitoring System: Veeder-Root TLS -350 SN# 80548678305001 Software Version Installed: 327.04 Complete the following checklist: In Secilon t Delo W, describe now and When these deficiencies were or will be corrected. Page 2 of 3 ■ Yes ❑ No ` Is the audible alarm operational? ■ Yes ❑ No' Is the visual alarm operational? ■ Yea ❑ No* were all sensors visually Inspected, functionally tested, and confirmed operational? ■ Yes ❑ No* Were all sensors installed at lowest point of secondary containment and positioned so that other equipment will not Interfere with their proper operation? [:]Yes ❑ No* ■ N/A H alarms are relayed to a remote monitoring station, is all communications equipment (e.g .modems) operational? ■ Yes ■ Yes ❑ No ` ❑ N/A ❑ No • For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment monitoring system detects a leak, falls to operate, or is electrically disconnected? If yes: which sensors initiate positive shutdown? (check all that apply) ■ Sumpfrrench sensors; ■ Dispenser Containment Sensors. Did you confirm positive shut -down due to leaks and sensor failure/tlisconnectkon? ❑ Yes ❑ No • ■ N/A For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no mechanical overfill prevention valve is Installed), is the overfill warning alarm visible and audible at the tank fill point(s) and operating properly? If so, at what percent of tank capacity does the alarm trigger? _ ❑ Yes • ■ No Was any monitoring equipment replaced? If yes, identify specific sensors, probes, or other equipment replaced and list the manufacturer name and model for all replacement parts In Section E, below. ■ Yes ` ❑ No Was any liquid found Inside any secondary containment systems designed as dry systems? (Check all that apply) ❑ Product; ■ Water. If yes, describe causes In Section E, below. ■ Yes ❑ No • Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports, If applicable. ■ Yes ❑ No ` Is all monitoring equipment operational per manufacturer's specifications? In Secilon t Delo W, describe now and When these deficiencies were or will be corrected. Page 2 of 3