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MONITORING SYSTEM CERT Cid ATION <br />I CERTIFICATION /TEST DATE: January7 2015 <br />Al. FACILITY <br />A2. OWNER <br />Name Tower Mart # 104 <br />Name Tower Energy Group, Inc. <br />Address 192 Lathrop Road, Lathrop, CA 95330 <br />Address 1983 West 190th Street, Torrance, CA 90504 <br />Phone # 209-858-4998 <br />Phone # 916-285-7402 ext 100 <br />Contact Desiz Burns <br />Contact Mark Vasey <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Veeder-Root TLS -350 SN# 80548678305C` <br />Software Version Installed: 327.04 <br />Complete the following checklist: <br />■ Yes <br />❑ No* <br />Is the audible alarm operational? <br />■ as <br />❑ No <br />Is the visual alarm operational? <br />■ Yes <br />❑ No • <br />Were all seneore visually Inspe:led, functionally tested, and confirmed operational? <br />■ Yes <br />❑ No • <br />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 <br />❑ No' <br />If alarms are relayed to a remote monitoring station, Is all communications equipment (e.g. modems) <br />■ WA <br />operational? <br />■ Yes <br />❑ No • <br />For pressurized piping systems, does the turbine automatically shut down If the piping secondary containment <br />❑ N/A <br />monitoring system detects a leak, fails to operate, or is electrically disconnected? If yes: which sensors initiate <br />positive shutdown? (check all that apply) ■ Sump/Trench sensors; ■ Dispenser Containment Sensors. <br />■ Yes <br />❑ No* <br />Did you confirm positive shut -down due to leaks and sensor failureldisconnection? <br />1:3 Yes <br />❑ No ` <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />■ N/A <br />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? _ % <br />❑ Yes ` <br />■ No <br />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 pans In section E, below. <br />of Yes • <br />❑ No <br />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 Ebelow, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Liquid was removed from all UST fill sumps. <br />Page 2 of 3 <br />