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<br /> RAIONI ING SYSTEMCERTIOCATION
<br /> CERTIFICATION /TEST DATE: December 16, 2008
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<br /> A1. FACILITY A2. OWNER
<br /> Name Bonfare Market#35 Name Bonfare Markets, Inc.
<br /> Address 15 W.Grant Line Road,Tracy,CA 95376 Address 461 S.Milpitas Blvd.,Suite 1,Milpitas,CA 95035
<br /> Phone# 209-833-9619 Phone# 408-933-4422
<br /> Contact Danny Arcayena Contact Sean Kapoor
<br /> 1A:eo"7 ut,, 777-777,770V747; ,,,, 777,7777,7777 77757'77
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<br /> D RESULTS OF TESTING/SERVICING
<br /> t4 Make/ Model of Monitoring System: Veeder-Root TLS-350
<br /> Software Version Installed: 123.02
<br /> Complete the following checklist
<br /> r � r
<br /> ■ Yes ❑ No* Is the audible alarm operational?
<br /> ■ Yes ❑ No" Is the visual alarm operational?
<br /> ■ Yes ❑ No* Were all sensors visually inspected,functionally tested,and confirmed operational?
<br /> ■ Yes ❑ No* 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 ❑ No* If alarms are relayed to a remote monitoring station,is all communications equipment(e.g.modems)
<br /> ■ N/A operational?
<br /> ■ Yes ❑ No* For pressurized piping systems,does the turbine automatically shut down if the piping secondary containment 5
<br /> ❑ N/A monitoring system detects a leak,fails to operate,or is electrically disconnected? If yes:which sensors initiate
<br /> 6 positive shutdown? (check all that apply) ■ Sump/Trench sensors; ■ Dispenser Containment Sensors. JR
<br /> Yes ❑ No* Did you confirm positive shut-down due to leaks and sensor failure/disconnection? F
<br /> ❑ Yes ❑ No* For tank systems that utilize the monitoring system as the primary tank overfill warning device(i.e.no
<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? _%
<br /> ❑ Yes N No Was any monitoring equipment replaced? If yes,identify specific sensors,probes,or other equipment replaced ,
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<br /> and list the manufacturer name and model for all replacement parts in Section E,below.
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<br /> ❑ Yes* ■ No Was any liquid found inside any secondary containment systems designed as dry systems?
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<br /> (Check all that apply) ❑ Product; ❑ Water. If yes,describe causes in Section E,below.
<br /> ■ Yes ❑ No* Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports,if applicable. w
<br /> ■ Yes ❑ 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. E,
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<br /> E. COMMENTS :
<br /> 9 Cleaned the 91 &871 annular sensors.
<br /> Replaced the clip on the 91 annular sensor.
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<br /> ©2006 Walton Engineering,Inc.
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