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8/15/200 8 PM FROM: Fax Alltech TO: 468-3433 PA 02 OF 004 <br /> ALA11tech, <br /> 17759 Buttercup.Circle, Sonora, CA 95370 <br /> Phone: 209-532-7320; Fax: 209-533-2650 <br /> California Tank Tester: 90-1068 <br /> California Contractor 623541 A-Haz <br /> alltech@mlode.com <br /> MONITORING SYSTEM CERTIFICATION <br /> A. General Information <br /> Facility Name:Frank's One Stop Date of Testing/Servicing:June 28,2002 <br /> Facility Address:2072 W.Yosemite,Manteca CA 95337 <br /> Facility Contact Person:John Kim Contact Phone No.:239-9575 <br /> Make/Model of Monitoring System:Veeder-Root TLS-350 <br /> B. Inventory of Equipment Tested/Certified: ®Multi-compartment tank;®Single annular sensor. <br /> Check thea ro ruts boxes to indicate cui ment in serviced: ®Pass ❑Fail <br /> Tank ID:12,000 Regular Tank Tank ID:6,000 Regular Compartment <br /> ®In-Tank Gauging Probe. Model:Mag 1 ®In-Tank Gauging Probe. Model:Mag 1 <br /> ®Annular Space or Vault Sensor. Model:Float Switch ®Annular Space or Vault Sensor. Model:Float Switch <br /> ®Piping Sump/Trench Sensor(s). Model:Float Switch ®Piping Sump/Trench Sensor(s). Model:Float Switch <br /> ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model: <br /> ®Mechanical Line Leak Detector. Model:FE Petro ®Mechanical Line Leak Detector. Model:FE Petro <br /> ❑Electronic Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model: <br /> ®Tank Overfill/High-Level Sensor. Model:Drop Tube ®Tank Overfill/High-Level Sensor. Model:Drop Tube <br /> ❑Other ❑Other <br /> Tank ID:6,000 SUL Compartment Tank ID:Diesel Compartment <br /> ®In-Tank Gauging Probe. Model:Mag 1 ®In-Tank Gauging Probe. Model:Mag 1 <br /> ®Annular Space or Vault Sensor. Model:Float Switch ®Annular Space or Vault Sensor. Model:Float Switch <br /> ®Piping Sump/Trench Sensor(s). Model:Float Switch ®Piping Sump/Trench Sensor(s). Model:Float Switch <br /> ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model: <br /> ®Mechanical Line Leak Detector. Model:FE Petro ®Mechanical Line Leak Detector. Model:Vaporless LD-2000 <br /> ❑Electronic Line Leak Detector. Model: ❑Electronic Line Leak Detector. Model <br /> ®Tank Overfill/High-Level Sensor. Model:Drop Tube ®Tank Overfill/High-Level Sensor. Model:Drop Tube <br /> ❑Other ❑Other <br /> Tank ID:Racing 100 Compartment Tank ID:Racing 110 Compartment <br /> ®In-Tank Gauging Probe. Model:Mag 1 ®In-Tank Gauging Probe. Model:Mag I <br /> ®Annular Space or Vault Sensor. Model:Float Switch ®Annular Space or Vault Sensor. Model:Float Switch <br /> ®Piping Sump/Trench Sensor(s). Model:Float Switch ®Piping Sump/Trench Sensor(s). Model:Float Switch <br /> ❑Fill Sump Sensor(s). Model: ❑Fill Sump Sensor(s). Model <br /> ®Mechanical Line Leak Detector. Model:FE Petro ®Mechanical Line Leak Detector. Model:FE Petro <br /> ❑Electronic Line Leak Detector. Model ❑Electronic Line Leak Detector. Model <br /> ®Tank Overfill/High-Level Sensor. Model:Drop Tube ®Tank Overfill/High-Level Sensor. Model:Drop Tube <br /> 11 ❑Other ❑Other <br /> Dispenser ID:1&2 E Sump:®Dry[]Water❑Product Dispenser ID:3&4®Sump:®Dry❑Water❑Product <br /> ®Dispenser Containment Sensor(s). Model:Float Switch ®Dispenser Containment Sensor(s). Model:Float Switch <br /> ®Shear Valve(s) (Functional test) ®Shear Valve(s) (Functional test) <br /> ❑Dispenser Containment Float(s)and Chain(s). ❑Dispenser Containment Float(s)and Chain(s). <br /> Dispenser ID:5&6®Sump:®Dry❑Water[]Product Dispenser ID:7&8®Sump:®Dry[]Water[]Product <br /> ®Dispenser Containment Sensor(s). Model:Float Switch ®Dispenser Containment Sensor(s). Model:Float Switch <br /> ®Shear Valve(s) (Functional test) ®Shear Valve(s) (Functional test) <br /> ❑Dispenser Containment Float(s)and Chain(s). ❑Dispenser Containment Float(s)and Chain(s). <br /> Dispenser ID:9&10®Sump:®Dry❑Water F]Product Dispenser ID: ❑Sump:[]Dry[]Water❑Product <br /> ®Dispenser Contaimnent Sensor(s). Model:Float Switch ❑Dispenser Containment Sensor(s). Model: <br /> ®Shear Valve(s) (Functional test) ❑Shear Valve(s) (Functional test) <br /> ❑Dispenser Containment Float(s)and Chain(s). ❑Dispenser Containment Float(s)and Chain(s). <br /> C. <br /> Certification-I certify that the equipment identified in this document was inspected/serviced in accordance with the manufacturers' <br /> guidelines. Attached to this Certification is information(e.g. manufacturers' checklists) necessary to verify that this information is <br />