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MONIT49RING SYSTEM CERTI18CATION <br />CERTIFICATION /TEST DATE: Mav 19. 2008 <br />Al. FACILITY <br />■ Yes <br />❑ No* <br />A2. OWNER <br />■ Yes <br />Name <br />Waterloo Shell <br />■ Yes <br />Name <br />Bill and Cathie Norby <br />Address <br />4315 E. Waterloo Road, Stockton, CA 95215 <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 />Address <br />2303 Woodlake Circle, Lodi, CA 95242 <br />Phone# <br />209-369-2252 <br />❑ No* <br />❑ N/A <br />❑ No* <br />Phone# <br />209-931-3674 <br />Contact <br />Bill and Cathie Norby <br />❑ Yes * <br />Contact <br />Bill and Cathie Norby <br />ID. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Veeder-Root TLS -350 <br />Software Version Installed: 324.02 <br />Complete the following checklist: <br />* In Section E below, describe how and when these deficiencies were or will be corrected. <br />E. COMMENTS <br />Found brine in the 87 fill sump. Removed the brine and put back in the sump annular. <br />A small amount of liquid was found in the 91 fill and 87 STP sumps. <br />The water was removed and left in owner supplied drum. <br />All UDC's and sumps are brine filled with Veeder-Root #794380-304 sensors. <br />All secondary containment, on all lines, are under vacuum with Veeder-Root #332250-001. <br />Page 2 of 3 <br />■ Yes <br />❑ No* <br />Is the audible alarm operational? <br />■ Yes <br />❑ No* <br />Is the visual alarm operational? <br />■ Yes <br />❑ No* <br />Were all sensors visually inspected, 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 />■ N/A <br />If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) <br />operational? <br />■ Yes <br />■ Yes <br />❑ No* <br />❑ N/A <br />❑ No* <br />For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <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 />Did you confirm positive shut -down due to leaks and sensor failure/disconnection? <br />❑ Yes <br />❑ No* <br />■ N/A <br />For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <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 parts in Section E, below. <br />■ 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 <br />❑ No* <br />Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />■ Yes <br />❑ No* <br />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 <br />Found brine in the 87 fill sump. Removed the brine and put back in the sump annular. <br />A small amount of liquid was found in the 91 fill and 87 STP sumps. <br />The water was removed and left in owner supplied drum. <br />All UDC's and sumps are brine filled with Veeder-Root #794380-304 sensors. <br />All secondary containment, on all lines, are under vacuum with Veeder-Root #332250-001. <br />Page 2 of 3 <br />