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MONITC*ING SYSTEM CERTIRVATION CERTIFICATION /TEST DATE: December 10, 2010 Al. FACILITY YesElNo* ❑ A2. OWNER Has all input wiring been inspected for proper entry and termination, including testing for ground faults? Name Olympian # 427 ❑ Name Nella Oil Company, LLC Address 3300 Waterloo Road, Stockton, CA 95205 ElNo* Address 2360 Lindbergh Street, Auburn, CA 95602 Phone # 530-885-0401 ❑ Phone # 530-885-0401 Contact Amanda Appelt ❑ Contact Amanda Appelt 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: ❑ YesElNo* ❑ No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults? ElYes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? El Yes ElNo* 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): Complete the following checklist: ❑ Check this box if LLDs are not installed. ❑ 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* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions ❑ N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ❑ N/A ❑ 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. H. COMMENTS Page 3 of 3