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MONITMING SYSTEM CERTIFWATION CERTIFICATION /TEST DATE: March 5, 2014 Al. FACILITY Name Tower Mart # 104 Address 192 Lathrop Road, Lathrop, CA 95330 Phone # 209-858-4998 Contact Desiz Burns A2. OWNER Name Tower Energy Group, Inc. Address 1983 West 190th Street, Torrance, CA 90504 Phone # 916-285-7402 ext 100 Contact Mark Vasey F. IN -TANK GAUGING / SIR EQUIPMENT: ■ Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gaugung equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ Yes ❑ No * Has all input wiring been Inspected for proper entry and termination, Including testing for ground faults? ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes ❑ No * Was accuracy of system water level readings tested? ❑ Yes ❑ No * Were all probes reinstalled properly? ❑ Yes ❑ No* Were all Items on the equipment manufacturer's maintenance checklist completed? In Section H below, describe how and when these deficiencies were or will be corrected. G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not Installed. Complete the following checklist: ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A (check all that apply) Simulated leak rate: ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. ❑ Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? _ ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* ❑ NIA For mechanical LLDs, does the LLD restrict product flow If It detects a leak? ❑ Yes ❑ No* ❑ NIA For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ Yes ❑ No* ❑ NIA For electronic LLD9, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ Yes ❑ No * ❑ NIA For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ Yes ❑ No * ❑ NIA For electronic LLD9, have all accessible wiring connections been visually Inspected? ❑ Yes ❑ No- Were all Items on the equipment manufacturees maintenance checklist completed? ' In Section H below, describe how and when these deficiencies were or will be corrected. H. COMMENTS Page 3 of 3