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P.O.Box 4208 <br /> AfftechPetr ` Sonora CA 95370 <br /> Ca:623541 A-Haz <br /> Phone:209-532-7320 <br /> Compliance without Compromise Fax:209-533-2650 <br /> mail@alltechpetro.com <br /> www.alltech petro.com <br /> MONITORING SYSTEM CERTIFICATION for VPH SYSTEMS <br /> A. Facility General Information <br /> Facility Name: Arco 6080 Date of Testing: Thursday, February 28, 2013 <br /> Facility Address: 85 Louise Ave, Lathrop CA 95330 <br /> Facility Contact Person: Terry Manager Facility Phone: 209-983-9144 <br /> LIA: San Joaquin EHD; Inspector: Thuy Tran Email: tttran@sjcehd.com. <br /> Make/Model of Monitoring System: Veeder-Root TLS-350 <br /> B. Inventory of Equipment Tested/Certified: <br /> Tank ID:87 Regular Tank 1 Tank ID:91 Premium Tank 2 <br /> ®In-Tank Gauging Probe. Model: Mag 1 ®In-Tank Gauging Probe. Model:Mag 1 <br /> ®Tank Annular Space Sensor. Model:794380-302 ®Tank Annular Space Sensor.Model:794380-302(shared) <br /> ®Piping Sump Sensor(s). Model:794380-323 ®Piping Sump Sensor(s). Model:794380-323 <br /> ®Piping Sump Annular: Model:794380-304 ❑Piping Sump Annular: Model:794380-304 <br /> ®Fill Sump Sensor(s). Model:794380-323 ®Fill Sump Sensor(s). Model:794380-323 <br /> ®Fill Sump annular Model:794380-304 ®Fill Sump annular Model:794380-304 <br /> ®Secondary Piping monitor Type:Vacuum ®Secondary Piping monitor Type:Vacuum <br /> ®Electronic Line Leak Detector. Model:VR-PLLD ®Electronic Line Leak Detector. Model:VR-PLLD <br /> ®Tank Overfill/High-Level Sensor.Model:V-R Audible ®Tank Overfill/High-Level Sensor.Model:V-R Audible <br /> ® Fillspill Bucket Tested In Sump): ®Pass ❑Fail ® Fillspill Bucket Tested In Sump): ®Pass ❑Fail <br /> Tank ID:Diesel Tank 3 Tank ID: <br /> ®In-Tank Gauging Probe. Model:Mag 1 ❑In-Tank Gauging Probe. Model: <br /> ®Tank Annular Space Sensor.Model:794380-302(shared) ❑Tank Annular Space Sensor. Model: <br /> ®Piping Sump Sensor(s). Model:794380-323 ❑Piping Sump Sensor(s). Model: <br /> ®Piping Sump Annular: Model:794380-304 ❑Piping Sump Annular: Model <br /> ®Fill Sump Sensor(s). Model:794380-323 ❑Fill Sump Sensor(s). Model: <br /> ®Fill Sump annular Model:794380-304 ❑Fill Sump annular Model: <br /> ®Secondary Piping monitor Type:Vacuum ❑Secondary Piping monitor Type: <br /> ®Electronic Line Leak Detector. Model:VR-PLLD ❑ Line Leak Detector. Model: <br /> ®Tank Overfill/High-Level Sensor.Model:V-R Audible ❑Tank overfill/High-Level Sensor.Model: <br /> ® Fillspill Bucket Tested(In Sump): ®Pass E]Fail ❑ Fillspill Bucket Tested: ❑Pass ❑Fail <br /> Dispenser ID: 1&2® Sump: ®Dry❑Water❑Product Dispenser ID:3&4® Sump:®Dry❑Water❑Product <br /> ®Dispenser Containment Sensor(s).Model:794380-323 ®Dispenser Containment Sensor(s). Model:794380-323 <br /> ® UDC Annular sensor. Model:794380-304 ® UDC Annular sensor. Model:794380-304 <br /> ®Shear Valves) (Functional test) ®Shear Valve(s) (Functional test) <br /> Dispenser ID: 5&6® Sump: ®Dry❑Water❑Product Dispenser ID: 7&8❑ Sump: ®Dry❑Water❑Product <br /> ®Dispenser Containment Sensor(s).Model:794380-323 ®Dispenser Containment Sensor(s). Model:794380-323 <br /> ® UDC Annular sensor. Model: 794380-304 ® UDC Annular sensor. Model: 794380-304 <br /> ®Shear Valve(s) (Functional test) ❑Shear Valve(s) (Functional test) <br /> Vent Box® Sump:®Dry❑Water[]Product Dispenser ID: ❑Sump: ❑Dry❑Water❑Product <br /> ®Dispenser Containment Sensor(s). Model:794380-323 El Dispenser Containment Sensor(s). Model: <br /> ® UDC Annular sensor. Model 794380-304 ❑ UDC Annular sensor. Model: <br /> Technician: — Date: 02/28/2013 <br /> Certification: Veeder-Root 636878, Level 4 <br /> ICC UST Service Technician # 8146912-UT <br />