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MONITORING SYSTEM CERTIFICATION <br /> CERTIFICATION / TEST DATE: January 5, 2016 <br /> At. FACILITY A2. OWNER <br /> Name Colonial Energy#40135 Name Colonial Energy,LLC. <br /> Address 192 Lathrop Road,Lathrop,CA 95330 Address 2860 N.Santiago Blvd.2nd Floor,Orange,CA 92867 <br /> Phone# 209-858-4998 Phone# 714-761-5426 <br /> Contact Station Manager Contact Victor Hassan <br /> D. RESULTS OF TESTING /SERVICING <br /> Make/ Model of Monitoring System: Veeder-Root TLS-350 SN# 80548678305001 <br /> Software Version Installed: 327.04 <br /> Complete the following checklist: <br /> ■ Yes ❑ No• Is the audible alarm operational? <br /> ■ Yes ❑ No• Is the visual alarm operational? <br /> ■ Yes ❑ No• Were all sensors visually Inspected,functionally tested,and confirmed operational? <br /> ■ Yes ❑ No• Were all sensors installed at lowest point of secondary containment and positioned so that other equipment <br /> 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 /> ■ NIA operational? <br /> ■ Yes ❑ No• For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment <br /> ❑ NIA monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate <br /> positive shutdown? (check all that apply) ■ Sumprrrench sensors; ■ Dispenser Containment Sensors. <br /> ■ Yes ❑ No• Did you confirm positive shut-down due to leaks and sensor failure/disconnection? <br /> ❑ Yes ❑ No• For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no <br /> ■ NIA mechanical overfill prevention valve Is installed),is the overfill warning alarm visible and audible at the tank <br /> fill Pointe)and operating properly? If so,at what percent of tank capacity does the alarm trigger? _ <br /> ❑ Yes• ■ No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced <br /> 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 /> (Check all that apply) ❑ Product; ■ Water. If yes,describe causes in Section E,below. <br /> ■ Yes ❑ No' Was monitoring system set-up reviewed to Insure proper settings? Attach set-up reports,if applicable. <br /> ■ Yes ❑ 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 F <br /> RECErIVED <br /> JAN 2 2 2018 <br /> - ENVIRONMENTAL HEALTH <br /> - D€PAHTMFNT <br /> ©2015 Walton Engineering,Inc. <br /> Page 2 of 3 <br />