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MONITq#ING SYSTEM CERTIFWATION <br /> CERTIFICATION /TEST DATE: June 8, 2009 <br /> Al. FACILITY A2. OWNER <br /> Name New West#1003 Name New West Stations <br /> Address 6437 W.Banner Road,Lodi,CA 95242 Address 1831 16th Street,Sacramento,CA 95814 <br /> Phone# 916-443-0890 Phone# 916-443-0890 <br /> Contact Marta Garcia Contact Marta Garcia <br /> D. RESULTS OF TESTING/SERVICING <br /> Make / Model of Monitoring System: Veeder-Root TLS-350 <br /> Software Version Installed: 324.01 <br /> Complete the following checklist: <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 <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 ❑ No* Did you confirm positive shut-down due to leaks and sensor failure/disconnection? <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* ❑ No 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* ■ 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 ❑ No* Was monitoring system set-up reviewed to insure proper settings? Attach set-up reports,if applicable. <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. <br /> E. COMMENTS <br /> Replaced the key board on the EMC.Veeder-Root 3293828-002. <br /> Adjusted the floats and chains on disp 3-4 and 15-16. <br /> ©2006 Walton Engineering,Inc. <br /> Page 2 of 3 <br />