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MONITMING SYSTEM CERTI .:ATION <br />CERTIFICATION /TEST DATE: January14, 2014 JAN 21 2014 <br />Al. FACILITY <br />A2. OWNER NTALHEALT <br />Name Tower Mart # 104 <br />Name Tower Energy Group, Inc. PERMIT/SERVICES <br />Address 192 Lathrop Road, Lathrop, CA 95330 <br />Address 1983 West 190th Street, Torrance, CA 80504 <br />Phone# 209-858-4998 <br />Phone# 916-285-7402 ext 100 <br />Contact Desiz Burns <br />Contact Mark Vasey <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 anti termination, including testing for ground faults?❑ <br />s❑ <br />No' Were all tank gauging probes visually Inspected for damage and residue bulldu <br />No' Was accuracy of system product level readings testedT❑ <br />A❑ <br />No' 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 />■ ent start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />hat apply) S/mu/ated leak rate., ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. <br />■ Ds confirmed operational and accurate within regulatory requirements? <br />41-INo <br />j <br />■ sting apparatus property calibrated?❑ <br />nical LLD8, does the LLD restrict product flow If it detects a leak? <br />■ Yes <br />❑ No' <br />For electronic LLDs, does the turbine automatically shut off If the LLD detects a leak? <br />❑ N/A <br />■ Yes <br />❑ No * <br />For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system is disabled <br />_ <br />❑ N/A <br />or disconnected? <br />■ Yes ❑ No * <br />For electronic LLD9, does the turbine automatically shut off If any portion of the monitoring system malfunctions <br />❑ N/A <br />or falls a test? <br />IN Yes ❑ No' <br />For electronic LLDs, have all accessible wiring connections been visually Inspected? <br />❑ WA <br />■ Yes ❑ No' Were all items on the equipment manufacturees maintenance checklist completed? <br />In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. COMMENTS <br />87-1 and 87-2 are line manifolded with a single PLLD. <br />is wanon Eagineenng, Inc. - <br />Page 3 of 3 <br />