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MONITC@ING SYSTEM CERTIFf ATIO 1hU:1VEF <br />1 <br />CERTIFICATION /TEST DATE: September 11, 2015 SEP 21 2015 <br />Al. FACILITY A2. OWNER ENVIRONMENTAL <br />Name Teichert Mobile Equipment Name Teichert Construction lira., +ncOeaTgAchrr <br />Address 120 Frank Circle, Stockton, CA 95206 Address P.O. Box 15002, Sacramento, CA 95851 <br />Phone # 916-366-8631 Phone # 916-386-3767 <br />Contact Steve Schamaun Contact Steve Schamaun <br />D. RESULTS OF TESTING / SERVICING <br />Make / Model of Monitoring System: Veeder-Root TLS -350 SN# 90962168905001 <br />Software Version Installed: 20.2 <br />Complete the following checklist: <br />■ Yes ❑ No* 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* If alarms are relayed to a remote monitoring station, is all communications equipment (e.g. modems) <br />■ N/A operational? <br />❑ No* For pressurized piping systems, does the turbine automatically shut down if the piping secondary containment <br />■ Yes <br />❑ N/A 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* Did you confirm positive shut -down due to leaks and sensor failure/disconnection? <br />El No* For tank systems that utilize the monitoring system as the primary tank overfill warning device (i.e. no <br />■ Yes <br />❑ N/A 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? 90% <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 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* Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports, if applicable. <br />■ Yes <br />❑ No* 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 />Diesel product is in a single tank with multiple turbines. _ <br />Diesel tank has a flapper the Gasoline and waste oil tanks do not. <br />Page 2 of 3 <br />