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MONITORING SYSTEM CERTIFICATION CERTIFICATION / TEST DATE : September 17 , 2018 41 . FACILITY A2 . OWNER Name Teichert Mobile Equipment Name Teichert Construction Address 120 Frank Circle , Stockton , CA 95206 Address P.O. Box 15002, Sacramento, CA 95851 Phone # 916-366-8631 Phone # 916486-3767 Contact Steve Schamaun Contact Steve Schamaun F . INJANK 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: Yes ❑ No * Has all input wiring been inspected for proper entry and termination, including testing for ground faults ? Yes ❑ No * Were all tank gauging probes visually inspected for damage and residue buildup? Yes ❑ No * Was accuracy of system product level re Y P adings tested .? Yes i ❑ 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 checklistcompleled? * In Section H below, describe how and when these deficiencies were or will be corrected. G . LINE LEAK DETECTORS ( LLD) : ❑ Check this box if LLDs are not Installed. Complete the following checklist: 70 Yes p No * For equipment start-up or annual equipment certification , was a leak simulated to veri ❑ fY LLD performance? ance . N/A (check all that apply) Simulated leak rate: 3 g . p h. ; ❑ 0. 1 g. p. h . ; El 0.2 g. p. h. - -- _ _ Yes —❑ No * Were all LLDs confirmed operational and accurate within regulatory requirements ? 11 — ----- Yes ❑ No I— -- — --� -----testingapparatus properly calibrated ? ❑ Yes i ❑ No * i For mechanical LLDs, does the LLD restrict product flow if it detects a leak? N/A Yesfi ---*--{----- -- ---- --- ----- --- ------ ------ --- --- ❑ No For electronic LLDs , does the turbine automatically shut off if the LLD detects a leak ? El N/A Yes E3 or No * For electronic LLDs, does the turbine au tomaticali shut off if Y any portion of the monitoring system is disabled ❑ N/A or disconnected? Yes r ❑ No * For electronic LLDs, does the turbine automatically shut off if any portion of the monitoringsystem malfunctions --_fi El N/A or fails a test? Y Yes ❑ No * For electronic LLDs, have alI accessible wiring connections been visually inspected? — -- ❑ N/A_ 1111 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 © 2018 Walton Engineering, Inc, Page 3 of 3