There are 12 reports in total all consolidated in this PDF file.

Appendix IX Underground Storage Tank

Overfill Prevention Equipment Inspection Report Form

CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, OPE = Overfill Prevention Equipment

TYPE OF ACTION Installation Repair 36 Month

1. FACILITY INFORMATION

CERS ID Inspection Date

Facility Name

Facility Address City ZIP Code

2. SERVICE TECHNICIAN INFORMATION

Company Performing the Inspection Phone

Mailing Address

Service Technician Performing Inspection

Contractor/Tank Tester License Number

ICC Number Expiration Date

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Expiration Date

4. INSPECTION PROCEDURES INFORMATION

Inspection Procedures Used Components Inspected

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING INSPECTION

I hereby certify that the OPE was inspected in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637.2; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date Total # of Pages

10471906 06/18/2024

CA Armyt National Guard MATES 2

Hwy 101, East Garrison, Bldg 25025 San Miguel 93451

Baseline Enterprises DBA Central Coast Tank Testing (805) 687-6640

P.O. Box 2155 Santa Barbara, Ca 93120

Andrew Proft

CSLB#873533 / TT#17-1765

5259477 8/19/24

Veeder Root #B33127 11/28/25

OPW 100205 07/29/25

PEI/RP1200 overfill equipment

06/18/2024 4

10471906

Overfill Prevention Equipment Inspection Report

Additional copies of this page may be attached.

Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s)

6. OVERFILL PREVENTION EQUIPMENT DETAILS

Tank ID (one OPE per column) Are both vent and tank riser piping secondarily contained?

Yes No

Yes No

Yes No

Yes No

OPE Model What is the OPE response when activated?

(Check all that apply.)

Shut off Flow Restricts

Flow Audible

Alarm Visual

Alarm

Shut off Flow Restricts Flow Audible

Alarm Visual

Alarm

Shut off Flow Restricts

Flow Audible

Alarm Visual

Alarm

Shut off Flow Restricts

Flow Audible

Alarm Visual

Alarm

Are flow restrictors installed on vent piping that may interfere with the OPE operation?

Yes* No

Yes* No

Yes* No

Yes* No

At what level in the tank is the OPE set to activate? (Inches from bottom of tank) What is the percent capacity of the tank at which the OPE activates?

Is the OPE in proper operating condition to respond when the stored substance reaches the designated regulatory level?

Yes No

Yes* No

Yes* No

Yes* No

7. SUMMARY OF TESTING RESULTS

OPE Inspection Results Pass Fail

Pass Fail

Pass Fail

Pass Fail

8. COMMENTS

Describe all answers marked “No” or “Fail” and proposed remedy.

List all monitoring equipment either replaced or repaired.

* Mark here if:

Flow restrictors interfere with overfill prevention and equipment repairs required.

T#2 (JP8) T#3 (JP8)

OPW OPW

86 86

95 95

INSPECTION PROCEDURE INFORMATION

OPW flapper: Manufacturer guidelines not available. Performed overfill equipment inspection according to Petroleum Equipment Institute (PEI) RP1200 Section 7. Petroleum Equipment Institute RP1200 is copyrighted material.

Tank #1 Removed

Doc Separator

Sheet Each doc is it's own separate report.

Appendix VII

Secondary Containment Testing Report Form

CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, TYPE OF ACTION Installation Repair 6 Month 36 Month

CERS ID Test Date

Facility Name

Facility Address City ZIP Code

Company Performing the Test Phone

Mailing Address

Service Technician Performing Test

Contractor/Tank Tester License Number

ICC Number ICC Expiration Date

Manufacturer and Test Equipment Training Certifications Expiration Date

Test Procedures Used Components Tested

I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date Total # of Pages

1. FACILITY INFORMATION

2. SERVICE TECHNICIAN INFORMATION

3. TRAINING AND CERTIFICATIONS

4. TEST PROCEDURE INFORMATION

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

10045075 10/02/2023

CA Army Nat’l Guard FMS 2

1601 Armory Rd. Barstow 92311

Baseline Enterprises DBA Central Coast Tank Testing (805) 687-6640

P.O. Box 2155, Santa Barbara, CA 93120

Jerry Brooks

CSLB#873533

8146908 08/31/2024

Incon Sump Test System #1016093709 11/24/24

PEI/RP1200 Tank Secondary, Line Secondary, Sumps, UDCs

10/02/2023 6

Secondary Containment Testing Report Form

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Tank ID Tank Manufacturer Tank Capacity Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

6. TANK SECONDARY CONTAINMENT TEST

7. PIPE SECONDARY CONTAINMENT TEST

Mc Daniels/3D Test Gauges NIST Tank 1 Tank 2 Owens Corning Owens Corning 6,000 gallons 2,200 gallons 1100 1200

10.0 “Hg 10.0 “Hg 1200 1300

10.0 “Hg 10.0 “Hg 0 0 No change No change

Mc Daniels/3D Test Gauges NIST Tank 1 Product Tank 2 Product Environ Environ 1030 1030

5.0 psi 5.0 psi 1130 1130

5.0 psi 5.0 psi 0 0 No change No change

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID

Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST

Incon TS-STS Sump Test System

Tank 1 Sump Tank 2 Sump UDC 1 UDC 2 ContainmentSolutions ContainmentSolutions Environ Environ 51 51 29 29 21 21 15 15

1224 1224 1224 1224

4.2918 6.0624 4.9463 3.5430

1240 1240 1240 1240

4.2904 6.0624 4.9463 3.5429 -0.001 0 0 -0.001 +/-0.002” +/-0.002” +/-0.002” +/-0.002”

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST (continued)

Measuring stick (accurate w/in 1/16" & of sufficient length) Incon TS-STS Sump Test System

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

9. COMMENTS

Secondary Containment Testing Report Form

CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, TYPE OF ACTION Installation Repair 6 Month 36 Month

CERS ID Test Date

Facility Name

Facility Address City ZIP Code

Company Performing the Test Phone

Mailing Address

Service Technician Performing Test

Contractor/Tank Tester License Number

ICC Number ICC Expiration Date

Manufacturer and Test Equipment Training Certifications Expiration Date

Test Procedures Used Components Tested

I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date Total # of Pages

1. FACILITY INFORMATION

2. SERVICE TECHNICIAN INFORMATION

3. TRAINING AND CERTIFICATIONS

4. TEST PROCEDURE INFORMATION

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

10152341 10/18/2023

CA ARNG Long Beach CSMS

3500 Stearns St. Long Beach 90822

Baseline Enterprises DBA Central Coast Tank Testing (805) 687-6640

P.O. Box 2155, Santa Barbara, CA 93120

Jerry Brooks

CSLB#873533

8146908 08/31/2024

Incon Sump Test System #1016093709 11/24/24

10/18/2023 6

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Tank ID Tank Manufacturer Tank Capacity Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

6. TANK SECONDARY CONTAINMENT TEST

7. PIPE SECONDARY CONTAINMENT TEST

Mc Daniels/3D Test Gauges NIST Tank 1 Tank 2 Owens Corning Owens Corning 6,000 gallons 10,000 gallons 1030 1242

10.0 “Hg 10.0 “Hg 1130 1332

10.0 “Hg 10.0 “Hg 0 0 No change No change

Mc Daniels/3D Test Gauges NIST Tank 1 Product Tank 1 Vent Tank 2 Product Tank 2 Vent Environ Environ Environ Environ 1200 1200 1330 1330

5.0 psi 5.0 psi 5.0 psi 5.0 psi 1300 1300 1430 1430

5.0 psi 5.0 psi 5.0 psi 5.0 psi 0 0 0 0 No change No change No change No change

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID

Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST

Incon TS-STS Sump Test System Tank 1 Piping Sump Tank 1 Fill Sump Tank 2 Piping Sump Tank 2 Fill Sump

Owens Corning Owens Corning Owens Corning Owens Corning 42 42 42 42 18 22 18 22

1204 1204 1204 1204

2.8475 5.4489 3.2572 1.7494

1220 1220 1220 1220

2.8474 5.4488 3.2556 1.7489

0.0001 0.0001 0.0016 0.0005

+/-0.002” +/-0.002” +/-0.002” +/-0.002”

UDC 1 UDC 2

Environ Environ 24 24

14 14

1230 1230

7.5594 6.8679

1245 1245

7.5597 6.8681

0.0003 0.0002

+/-0.002” +/-0.002”

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST (continued)

Measuring stick (accurate w/in 1/16" & of sufficient length) Incon TS-STS Sump Test System

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Secondary Containment Testing Report Form

CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, TYPE OF ACTION Installation Repair 6 Month 36 Month

CERS ID Test Date

Facility Name

Facility Address City ZIP Code

Company Performing the Test Phone

Mailing Address

Service Technician Performing Test

Contractor/Tank Tester License Number

ICC Number ICC Expiration Date

Manufacturer and Test Equipment Training Certifications Expiration Date

Test Procedures Used Components Tested

I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date Total # of Pages

1. FACILITY INFORMATION

2. SERVICE TECHNICIAN INFORMATION

3. TRAINING AND CERTIFICATIONS

4. TEST PROCEDURE INFORMATION

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

10181267 10/12/2023

Stockton AASF

2000 Stimson Rd Stockton 95206

Baseline Enterprises DBA Central Coast Tank Testing (805) 687-6640

P.O. Box 2155, Santa Barbara, CA 93120

Jerry Brooks

CSLB#873533

8146908 08/31/2024

Incon Sump Test System #1016093709 11/24/24

10/12/2023 6

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Tank ID Tank Manufacturer Tank Capacity Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

6. TANK SECONDARY CONTAINMENT TEST

7. PIPE SECONDARY CONTAINMENT TEST

Mc Daniels/3D Test Gauges NIST Tank 1 Owens Corning 15,000 gallons

10.0 “Hg

10.0 “Hg No change

Mc Daniels/3D Test Gauges NIST Tank 1 Product AST Product Smith Smith 0930 0930

5.0 psi 5.0 psi 1030 1030

5.0 psi 5.0 psi 0 0 No change No change

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID

Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST

Incon TS-STS Sump Test System

UST STP Reel UDC Transition Sump Containment Solutions Containment Solutions Western Fiberglass

32 36 48 18 16 32

1044 1044 1044

7.5098 5.7213 3.3910

1059 1059 1059

7.5096 5.7213 3.3905

0.0002 0 0.0005

+/-0.002” +/-0.002” +/-0.002”

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST (continued)

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Secondary Containment Testing Report Form

CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification, NA = Not Applicable, UDC = Under-Dispenser Containment, TYPE OF ACTION Installation Repair 6 Month 36 Month

CERS ID Test Date

Facility Name

Facility Address City ZIP Code

Company Performing the Test Phone

Mailing Address

Service Technician Performing Test

Contractor/Tank Tester License Number

ICC Number ICC Expiration Date

Manufacturer and Test Equipment Training Certifications Expiration Date

Test Procedures Used Components Tested

I hereby certify that the secondary containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2637; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date Total # of Pages

1. FACILITY INFORMATION

2. SERVICE TECHNICIAN INFORMATION

3. TRAINING AND CERTIFICATIONS

4. TEST PROCEDURE INFORMATION

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

10471906 10/11/2023

CA Army Nat’l Guard, Camp Roberts, Camp Roberts MATES 2

Hwy 101, East Garrison, Bldg 25025 San Miguel 93451

Baseline Enterprises DBA Central Coast Tank Testing (805) 687-6640

P.O. Box 2155, Santa Barbara, CA 93120

Jerry Brooks

CSLB#873533

8146908 08/31/2024

Incon Sump Test System #1016093709 11/24/24

10/11/2023 7

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Tank ID Tank Manufacturer Tank Capacity Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Pipe Run ID Pipe Manufacturer Test Start Time Initial Reading Test End Time Final Reading Change in Reading Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

6. TANK SECONDARY CONTAINMENT TEST

7. PIPE SECONDARY CONTAINMENT TEST

Mc Daniels/3D Test Gauges NIST Tank 2 Tank 3 Trusco Trusco 5,000 gallons 5,000 gallons 0900 1050

10.0 “Hg 10.0 “Hg 1000 1150

10.0 “Hg 10.0 “Hg 0 0 No change No change

Mc Daniels/3D Test Gauges NIST Tank 2 Product Tank 3 Product Tank 3 Vent AO Smith AO Smith AO Smith 1030 0900 0900

5.0 psi 5.0 psi 5.0 psi 1130 1000 1000

5.0 psi 5.0 psi 5.0 psi 0 0 0 No change No change No Change

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID

Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Additional copies of this page may be attached.

8. SUMP/UDC TEST

Incon TS-STS Sump Test System

DISP #1 Tank 3 DISP#2 Tank 2 DISP#3 Tank 2 DISP#4 Tank 2 Bravo Bravo Bravo Bravo

24.5 24.5 24.5 24.5 12 10 7 9.5

1012 1012 1012 1045

7.1284 3.1209 4.2295 3.6430 1027 1027 1027 1101

7.1283 3.1213 4.2295 3.6434 -0.0001 -0.0004 0 -0.0004 +/-0.002” +/-0.002” +/-0.002” +/-0.002”

Tank 2 STP Tank 3 STP Containment Solutions Containment Solutions

33.5 35

13 15

1045 1045

1.2578 6.1450 1101 1101

1.2579 6.1448 -0.0001 0.0002

+/-0.002” +/-0.002”

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Test Method Developed by Manufacturer Industry Standard Professional Engineer Test Type Pressure Vacuum Hydrostatic Test Equipment Used:

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

Sump/UDC ID Sump Manufacturer Sump Depth (inches) Sump Bottom to Top of Highest Pipe Penetration (inches) Test Start Time

Initial Reading

Test End Time

Final Reading

Change in Reading

Pass/Fail Criteria

Tightness Test Results Pass Fail Pass Fail Pass Fail Pass Fail

8. SUMP/UDC TEST (continued)

All tests marked “Fail” and any repairs made before or during the tightness test must be described in the COMMENTS section.

Overfill Prevention Equipment Inspection Report Form

CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, OPE = Overfill Prevention Equipment

TYPE OF ACTION ☐ Installation ☐ Repair ☒ 36 Month

1. FACILITY INFORMATION

CERS ID

10045075

Inspection Date

2025-10-22 Facility Name

CA Army National Guard Barstow FMS#2

Facility Address

1601 Armory Rd

City

Barstow

ZIP Code

92311

2. SERVICE TECHNICIAN INFORMATION

Company Performing the Inspection

SunWest Engineering Constructors, Inc

Phone

(888) 588-8737

Mailing Address

4780 Cheyenne Way, Chino, CA 91710 Service Technician Performing Inspection

Westley Troncoso Contractor/Tank Tester License Number

703190 ICC Number

9430867

Expiration Date

2026-01-03

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Expiration Date

VEEDER - ATG Technician 2026-02-11

4. INSPECTION PROCEDURES INFORMATION

Inspection Procedures Used Components Inspected

Manufacturer ATG

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING

INSPECTION

I hereby certify that the OPE was inspected in accordance with California Code of

Regulations, title 23, division 3, chapter 16, section 2637.2; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

Service Technician Signature Date

2025-10-22

Total # of Pages

SA-63844

Overfill Prevention Equipment Inspection Report Form

CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council, OPE = Overfill Prevention Equipment

6. OVERFILL PREVENTION EQUIPMENT DETAILS

Tank ID (one OPE per column) T1 Diesel T2 Diesel

Are both vent and tank riser piping secondarily contained?

☒ Yes ☐ No

☒ Yes ☐ No

☐ Yes ☐ No

☐ Yes ☐ No

OPE Model 846390-104 846390-104

What is the OPE response when activated?

(Check all that apply.)

☐ Shuts off Flow

☐ Restricts Flow

☒ Audible Alarm

☒ Visual Alarm

☒ Shuts off Flow

☒ Restricts Flow

☐ Audible Alarm

☐ Visual Alarm

☐ Shuts off Flow

☐ Restricts Flow

☐ Audible Alarm

☐ Visual Alarm

☐ Shuts off Flow

☐ Restricts Flow

☐ Audible Alarm

☐ Visual Alarm

Are flow restrictors installed on vent piping that may interfere with the OPE operation?

☐ Yes ☒ No

☐ Yes ☒ No

☐ Yes ☐ No

☐ Yes ☐ No

At what level in the tank is the OPE set to activate? (Inches from bottom of tank)

57.5 50

What is the percent capacity of the tank at which the OPE activates?

90 90

Is the OPE in proper operating condition to respond when the stored substance reaches the designated regulatory level?

☒ Yes

☐ No

☒ Yes

☐ No

☐ Yes

☐ No

☐ Yes

☐ No

7. SUMMARY OF TESTING RESULTS

OPE Inspection Results ☒ Pass

☐ Fail

☒ Pass

☐ Fail

☒ Pass

☐ Fail

☐ Pass

☐ Fail

8. COMMENTS

Are Flow Restrictors Installed?

☐ Yes

☒ No

☐ Yes

☒ No

☐ Yes

☐ No

☐ Yes

☐ No

Describe all results marked "Fail" and each proposed remedy.

* Mark here if:

☐ Flow restrictors interfere with overfill prevention and equipment repairs required.

Additional copies of this page may be attached.

Attach tank chart(s), measurements, calculations, and In-Tank Setup report(s)

Appendix 5

Release Detection Equipment Testing Report Form

TYPE ACTION ☐ Installation ☐ Repair ☒ 12 Month

1. FACILITY INFORMATION

CERS ID

10152341

Test Date 2026-04-30

Facility Name CA Army National Guard Long Beach CSMS

Facility Address 3500 Stearns St

City Long Beach

ZIP Code 90822

2. SERVICE TECHNICIAN INFORMATION

Company Performing Testing SunWest Engineering Constructors, Inc.

Phone

(888) 588-8737

Mailing Address 4780 Cheyenne Way, Chino, CA 91710

Service Technician Performing Testing William Wright

Contractor License Number 703190

ICC Certification 10233162

ICC Expiration Date 2026-12-02

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Training Expiration Date

VEEDER - ATG Technician 2027-04-04

4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

I hereby certify that all equipment identified in this form has been tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2663; that required supporting documentation is attached; and all information contained herein is accurate.

Service Technician Signature Date 2026-04-30

Total # of Pages

CERS = California Environmental Reporting System, GPH = Gallons Per Hour, ID = Identification, ICC = International Code Council, LLD = Line Leak Detector, NA = Not Applicable, UDC = Under Dispenser Containment, UST = Underground Storage Tank, VPH = Vacuum/Pressure/Hydrostatic

SA-56474

Release Detection Equipment Testing Report Form

5. MONITORING SYSTEM AND PROGRAMMING

A separate Release Detection Equipment Testing Report Form must be prepared for each monitoring system.

Manufacturer of Monitoring

System Control Panel

Veeder-Root

Model of Monitoring System

Control Panel

TLS-350

Software Version Installed

122.00

Attach the post-testing reports if the monitoring system is capable of generating either: ☒ Monitoring System Set-up Report ☒ Alarm History Report Yes No NA

Is all release detection equipment that was tested operational per manufacturer's specifications?

Is the secondary containment free of damage, debris, or liquid? ☒ ☐

Are the release detection audible and visual alarms operational? ☒ ☐

Have all sensors been: 1) visually inspected for wiring kinks, breaks and residual buildup on floats; and 2) tested for functionality and confirmed operational?

Are all sensors installed to detect a release at the earliest opportunity? ☒ ☐ ☐

Was the monitoring system set-up reviewed, and proper settings confirmed? ☒ ☐ ☐

Was the monitoring system's backup battery visually inspected, functionally tested, and confirmed operational?

Was it confirmed that the flow of hazardous substance stops at the dispenser if a release is detected in the under-dispenser containment?

Does the pressure supply pump automatically shut down if the piping secondary containment monitoring system fails to operate or is disconnected?

Does the pressure supply pump automatically shut down if the piping secondary containment monitoring system detects a release? Which sensors initiate positive shut down? (Check all that apply) ☐ Containment Sump ☐ UDC

If release detection alarms are relayed to a remote monitoring center, is all communication equipment operational?

If there is any buried single-wall suction hazardous substance piping, was it confirmed using the inspection method approved by the Unified Program Agency, that the pipe contents drain back into the UST if the suction is released?

Describe all answers marked "No" or "Fail" and the proposed remedy in Section 8.

List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8

6. SENSOR TEST RESULTS

☐ Check this box if Appendix 5.1 continuation page is attached.Check this box if Appendix 5.1 continuation page is attached.

List only sensors tested. List "Sensor ID" as labeled in system programming. For VPH monitoring, continuity must be confirmed between the most distant points in the interstitial space to the extent practical as approved by the Unified Program Agency and the sensor that monitors the zone.

Sensor

ID

Sensor Model

Component(s) Monitored Function Continuity

Pass Fail Pass Fail NA

C1 794390-344 Diesel Tank Interstitial ☒ ☐ ☐ ☐ ☒

C2 794390-344 Diesel Tank Interstitial ☒ ☐ ☐ ☐ ☒

L1 794380-208 Diesel Fill Sump ☒ ☐ ☐ ☐ ☒

L2 794380-208 Diesel Piping Sump ☒ ☐ ☐ ☐ ☒

L4 794380-208 Diesel UDC ☒ ☐ ☐ ☐ ☒

L5 794380-208 Diesel Fill Sump ☒ ☐ ☐ ☐ ☒

L6 794380-208 Diesel Piping Sump ☒ ☐ ☐ ☐ ☒

L8 794380-208 Diesel UDC ☒ ☐ ☐ ☐ ☒

Describe all answers marked "No" or "Fail" and the proposed remedy in Section 8.

List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8.

7. LINE LEAK DETECTOR TEST RESULTS

☒ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.)

☐ Check this box if Appendix 5.2 continuation page is attached.

Simulated release rate verified: (Check all that apply.)

☐ 3 GPH ☐ 0.1 GPH (Required only if LLD performs line tightness testing) Yes No NA

Has the testing equipment been properly calibrated? ☐ ☐ ☐

For emergency tank systems, does the LLD create an audible and visual alarm when a release is detected?

For mechanical LLDs, does the LLD restrict the flow through the pipe when a release is detected?

For electronic LLDs, does the pressure supply pump automatically shut off when a release is detected?

For electronic LLDs, does the pressure supply pump automatically shut off if the monitoring system or LLD is disabled or disconnected?

For electronic LLDs, does the pressure supply pump automatically shut off if the monitoring system or LLD malfunctions or fails a tightness test?

For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks?

Were all items on the equipment manufacturer's maintenance checklist completed?

Were all LLDs confirmed operational within regulatory requirements? ☐ ☐ ☐

List only line leak detectors tested.

LLD ID LLD Model Lines Monitored Pass Fail

8. COMMENTS

Describe all answers marked "No" or "Fail" and proposed remedy.

List all release detection equipment either replaced or repaired (including cleaning or adjustment).

9. MONITORING SITE PLAN

Attach a copy of the facility's UST Monitoring Site Plan that shows the general layout of tanks and dispensers, locations of the monitoring panel and all other release detection equipment, VPH monitoring zones (if applicable), and the date the site plan was prepared. Include a legend for all symbols depicted.

Date Site Plan Was Prepared: 2026-04-30

Describe all answers marked "No" or "Fail" and the proposed remedy in Section 8.

Appendix 6

Spill Containment Testing Report Form TESTING TYPE ☐Installation ☐Repair ☒ 12 Month

1. FACILITY INFORMATION

CERS ID

10152341

Test Date 2026-04-30

Facility Name CA Army National Guard Long Beach CSMS

Facility Address 3500 Stearns St

City Long Beach

ZIP Code 90822

2. SERVICE TECHNICIAN INFORMATION

Company Performing Testing SunWest Engineering Constructors, Inc

Phone

(888) 588-8737

Mailing Address 4780 Cheyenne Way, Chino, CA 91710

Service Technician Performing Testing William Wright

Contractor License Number 703190

ICC Certification 10233162

ICC Expiration Date 2026-12-02

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Training Expiration Date

CNI - EVR System Trained Installer EVR Phase 1 E.O 2026-06-21

4. TEST PROCEDURE INFORMATION

Test Procedures Used Components Tested

All spill containment tested

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST

I hereby certify that each spill containment was tested in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2664; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures must be made available upon request by the governing authority.

Service Technician Signature Date 2026-04-30

Total # of Pages

CERS = California Environmental Reporting System, ICC = International Code Council, ID = Identification

PEI/PR 1200

Spill Containment Testing Report Form

6. SPILL CONTAINMENT DETAILS

Test Method Developed by ☐ Manufacturer ☐ Industry Standard ☐ Professional Engineer

Test Type ☐ Pressure ☐ Vacuum ☒ Hydrostatic

☐ Check this box if Appendix 6.1 continuation page is attached.

Tank ID T1 T2

Spill Containment Manufacturer: CNI CNI

Method of Cathodic Protection ☒ Nonmetallic ☒ Nonmetallic ☐ Nonmetallic ☐ Nonmetallic

☐ Other ☐ Other ☐ Other ☐ Other

Is the spill containment minimum capacity five gallons excluding riser volume?

☒ Yes ☒ Yes ☐ Yes ☐ Yes

☐ No* ☐ No* ☐ No* ☐ No*

Method to keep spill containment empty

☒ Drain ☒ Drain ☐ Drain ☐ Drain

☐ Pump ☐ Pump ☐ Pump ☐ Pump

☐ Other ☐ Other ☐ Other ☐ Other

Spill Containment Test Results ☒ Pass ☒ Pass ☐ Pass ☐ Pass

☐ Fail ☐ Fail ☐ Fail ☐ Fail

Tank ID

Spill Containment Manufacturer:

Method of Cathodic Protection ☐ Nonmetallic ☐ Nonmetallic ☐ Nonmetallic ☐ Nonmetallic

☐ Other ☐ Other ☐ Other ☐ Other

Is the spill containment minimum capacity five gallons excluding riser volume?

☐ Yes ☐ Yes ☐ Yes ☐ Yes

☐ No* ☐ No* ☐ No* ☐ No*

Method to keep spill containment empty

☐ Drain ☐ Drain ☐ Drain ☐ Drain

☐ Pump ☐ Pump ☐ Pump ☐ Pump

☐ Other ☐ Other ☐ Other ☐ Other

Spill Containment Test Results ☐ Pass ☐ Pass ☐ Pass ☐ Pass

☐ Fail ☐ Fail ☐ Fail ☐ Fail

7. COMMENTS

Check this box if any spill containment has less than 5 gallons capacity and requires replacement Describe all answers marked "Other," "No," or "Fail" and each proposed remedy in Section 7.

Recommended Practices for the Testing and Verification of Spill, Overfill, Leak Detection and Secondary Containment Equipment at UST Facilities

APPENDIX C-11

EMERGENCY STOP SWITCH OPERATION INSPECTION

Facility Name: CA Army National Guard Long Beach CSMS Owner: Fred Delucchi

Address: 3500 Stearns St Address:

City, State, Zip Code: Long Beach, CA 90822 City, State, Zip Code: , Facility I.D. #: Phone #:

Testing Company: SunWest Engineering Constructors, Inc Phone #: (888) 855-8737 Date:

This procedure is to verify the operation of all emergency stop switches/buttons (E-stops). Each E-stop must disconnect power to dispensers, submersible turbine pumps (STPs) and all non-intrinsically safe electrical equipment in classified areas. Test each

E-stop separately. See PEI/RP1200 Section 11 for the inspection procedure.

E-stop Number or ID 1

Location Building C Wall

1. E-stops labeled and located where easily accessible?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

2. System fully powered and in normal operating condition?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

3. After activating E-stop, power disconnected from:

3a. All dispensing devices on all islands?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

3b. All STPs for all fuel grades? ☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

3c. All power, control and signal circuits associat- ed with the dispensing devices and the

STPs?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

3d. All other non-intrin- sically safe electrical equipment in classified areas surrounding fuel dispensing devices?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

4. All intrinsically safe electri- cal equipment remains energized after E-stop acti- vation?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

5. After testing, E-stop has been reset and power rees-tablished to normal operat- ing condition?

☒Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No ☐Yes ☐No

A "No" to lines 3a-3d indicates a test failure.

Test Results ☒Pass ☐Fail ☐Pass

☐Fail

☐Pass

☐Fail ☐Pass ☐Fail ☐Pass ☐Fail

☐Pass

☐Fail

Comments:

Tester's Name (print) William Wright Tester's Signature pei.org 63

P E

I/ R

P

-2

A

P E

N D

IX

C

-1

SHEAR VALVE OPERATION INSPECTION

Owner: Fred Delucchi

Address:

City, State, Zip Code: , Phone #:

Phone #: (888) 588-8737

This data sheet is for inspecting shear valves located inside dispensers. See PEI/RP1200 Section 10 for the inspection procedure.

☐Yes ☐No

☐Yes ☐No

☐Yes

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

A "No" to Lines 1-4 or a "Yes" for Line 5 indicates a test failure.

☐Pass

☐Fail

Comments:

2026-04-30 Test Date

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

Facility Name: CA Army National Guard Long Beach CSMS

Address: 3500 Stearns St

City, State, Zip Code: Long Beach, CA, 90822

Facility I.D.#: 10152341

Testing Company: SunWest Engineering Constructors, Inc.

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

☐Yes ☐No

☐Yes ☐No

☐Yes ☐No

☐NA

☐Yes ☐No

☐NA

☐Yes ☐No ☐Yes ☐No

☐NA

☐Pass

☐Fail

Tester's Signature

Diesel

Product

☒Yes ☐No

☒Yes ☐No

☒Yes ☐No

☐NA

☒Yes ☐No

☐NA

☐Yes ☒No ☐Yes ☒No

☐NA

☒Pass

☐Fail

Diesel

Product

☒Yes ☐No

☒Yes ☐No

☒Yes ☐No

☐NA

☒Yes ☐No

☐NA

☐Yes ☒No ☐Yes ☒No

☐NA

☒Pass

☐Fail

Product Grade

Dispenser ID#

Shear Valve Type

(Product/Vapor)

1. Is the shear valve rigidly anchored to the dispenser box frame or dispenser island?

2. Is the shear section posi-tioned between ½ inch above or below the top surface of the dispenser island?

3. Is the lever arm free to move?

4. Does the lever arm snap shut the poppet valve?

5. Can any product be dis-pensed when the product shear valve is closed?

Test Results

Tester's Name (print) p e i.o rg

Monitoring System Certification Form

TYPE OF ACTION ☐ Installation ☐ Repair ☒ 12 Month

1. FACILITY INFORMATION

CERS ID

10181267

Certification Date

2025-07-01

Facility Name

CA Army National Guard Stockton AASF

Facility Address

2000 Stimson Rd

City

Stockton

ZIP Code

95206

2. SERVICE TECHNICIAN INFORMATION

Company Performing the Certification

SunWest Engineering Constructors, Inc.

Phone

(888) 588-8737

Mailing Address

4780 Cheyenne Way, Chino, CA 91710 Service Technician Performing Test

William Wright Contractor/Tank Tester License Number

703190

ICC Number

10233162

ICC Expiration Date

2026-12-02

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Expiration Date

VEEDER - ATG Technician 2027-04-04

VMI - VMI LDT-890 Leak Detector Tester 2025-09-06

4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING

TEST

I hereby certify that the monitoring system is operational in accordance with California Code of Regulations, title 23, division 3, chapter 16, section 2638; that required supporting documentation is attached; and all information contained herein is accurate.

Service Technician Signature

Date

Total # of Pages

SA-56472

5. MONITORING SYSTEM AND PROGRAMMING

A separate Monitoring System Certification Form must be prepared for each control panel.

Make of Monitoring System

Control Panel

Veeder Root

Model of Monitoring System

Control Panel

TLS-350

Software Version Installed

129.02

Attach the post-certification reports if the monitoring system is capable of generating either; # ☒ Monitoring System Set-up ☒Alarm History Report Yes No NA

All monitoring equipment is operational per manufacturer's specifications? ☒ ☐

Secondary containment systems are free of damage, debris, or liquid? ☒ ☐

Are the audible and visual alarms operational? ☒ ☐

All sensors have been: 1) visually inspected for wiring kinks, breaks and residual buildup on floats; and 2) tested for functionality and confirmed operational?

Are all sensors installed to detect a release at the earliest opportunity in the secondary containment?

The monitoring system set-up was reviewed, and proper settings confirmed?

Was the monitoring control panel's backup battery visually inspected, functionally tested, and confirmed operational?

Does the flow of fuel stop at the dispenser if a release is detected in the under-dispenser containment?

Does the turbine automatically shut down if the piping secondary containment monitoring system fails to operate or is electrically disconnected?

Does the turbine automatically shut down if the piping secondary containment monitoring system detects a release? Which sensors initiate positive shut down?

(Check all that apply) ☒ Sump ☒ UDC

If monitoring system alarms are relayed to a remote monitoring center, is all communication equipment operational?

Describe all answers marked "No" or "Fail" and proposed remedy in Section 9.

List all monitoring equipment either replaced or repaired in Section 9

6. SENSOR TESTING RESULTS

List only sensors tested on date of this certification. List "Sensor ID" as labeled in system programming. Additional copies of this page may be attached to accommodate all sensors tested.

Sensor ID Sensor Model Component(s) Monitored Pass Fail

L1 794390-420 T1 Annular Space ☒ ☐

L2 794380-208 T1 STP Sump ☒ ☐

L3 794380-208 Transition Sump ☒ ☐

L4 794380-208 Bulk UDC ☒ ☐

L5 794390-420 T2 Annular Space ☒ ☐

7. LINE LEAK DETECTOR TESTING

☐ Check this box if line leak detectors ARE NOT installed. (Do not complete this section.)

Simulated release rate verified: (Check all that apply.)

☐ 3 GPH ☐ 0.1 GPH ☐ 0.2 GPH

Yes No NA

Has the testing apparatus been properly calibrated? ☐ ☐ ☐

For emergency generator tank systems, does the LLD create an audible and visual alarm when a leak is detected?

For mechanical LLDs, does the LLD restrict the flow through the pipe when a release is detected?

For electronic LLDs, does the turbine automatically shut off when a release is detected?

For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected?

monitoring system malfunctions or fails a tightness test?

For electronic LLDs, have all accessible wiring connections been visually inspected for kinks and breaks?

Were all items on the equipment manufacturer's maintenance checklist completed?

Were all LLDs confirmed operational within regulatory requirements? ☐

LLD ID LLD Model Lines Monitored Pass Fail

8. IN-TANK GAUGING TESTING

☒ Check this box if tank gauging is used only for inventory control.

☐ Check this box if NO tank gauging equipment is installed.

(Do not complete this section if either box is checked.)

Yes No NA

All wiring has been: 1) visually inspected for kinks, breaks and proper entry and termination; and 2) tested for ground faults?

Were all in-tank gauging probes visually inspected for damage and residue buildup to ensure that floats move freely, functionally tested, and confirmed operational?

Was accuracy of system's product level readings tested? ☐ ☐ ☐

Was accuracy of system's water level readings tested? ☐ ☐ ☐

Were all probes reinstalled properly? ☐ ☐ ☐

Were all items on the equipment manufacturer's maintenance checklist

Probe ID Probe Model Tanks Monitored Pass Fail

List all monitoring equipment either replaced or repaired.

Line Leak Detector was not able to be tested at this time.

10. MONITORING SITE PLAN

Date site plan was prepared: 2025-07-01

If a site plan has been prepared that shows all required information, you may include it, rather than this page, with your Monitoring System Certification Form. The site plan must show the general layout of tanks and identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include a legend for all symbols depicted.

Mechanical Leak Detector Test Data Sheet

Site Name Date

Address

1 2 3 4 5

Product

Manufacturer

Model

Full Operating Pressure (PSI)

Line Bleed Back (mL)

Trip Time (sec)

Metering Pressure (PSI)

F/E Holding Pressure (PSI)

Test Leak Rate (ml/min)(gph)

This letter certifies that the annual leak detector tests were performed at the above referenced facility according to the equipment manufacturers procedures and limitations and the results as listed are to my knowledge true and correct. The mechanical leak detector test pass/fail is determined using a low flow threshold trip rate of 3 gph at 10 PSI.

Inspected By: Contractor SunWest Engineering Constructors

Technician William Wright Lic#10233162

Signature

Test Information

CA Army National Guard Stockton AASF

2025-07-01

Stockton 95206

Emergency Stop Switch Test

Work Order # 00065772

Date 2025-07-01

Street Address 2000 Stimson Rd

City, State Stockton, 95206

Total Time Testing E-Stop 0.834792916

Shut Down Location of E-Stop Turbine (Y/N) Dispenser (Y/N) Comments/Repairs

Outside Wall Y N

Inside Wall N N

Other

Other

Other

Test Result (Pass/Fail) Pass

Appendix VIII

Spill Container Testing Report Form

CERS = California Environmental Reporting System, ID = Identification, ICC = International Code Council

10181267

Test Date

Facility Name

CA Army National Guard Stockton AASF

Stockton

95206

Company Performing the Test

SunWest Engineering Constructors, Inc

Phone

(888) 588-8737

Mailing Address

4780 Cheyenne Way, Chino, CA 91710 Service Technician Performing Test

William Wright Contractor/Tank Tester License Number

703190 ICC Number

10233162

2026-12-02

OPW - EVR UST /AST

2027-02-17

4. TEST PROCEDURE INFORMATION

Test Procedures Used Components Tested

PEI/RP 1200 T1 Diesel Spill Bucket

5. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING

TEST I hereby certify that each spill container was tested in accordance with California Code of

Regulations, title 23, division 3, chapter 16, section 2637.1; that required supporting documentation is attached; and all information contained herein is accurate. I understand that test procedures shall be made available upon request by the governing authority.

6. SPILL CONTAINER DETAILS

SA-56472

Spill Container Testing Report Form

Test Method Developed by ☐ Manufacturer ☒ Industry Standard ☐ Professional Engineer

Test Type ☐ Pressure ☐ Vacuum ☒ Hydrostatic

Tank ID T1 Diesel

Spill Container Manufacturer: OPW

Method of Cathodic Protection ☒ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

Is the spill container minimum capacity five gallons excluding riser volume?

☒ Yes ☐ No*

☐ Yes ☐ No*

☐ Yes ☐ No*

☐ Yes ☐ No*

Method to keep spill container empty

☒ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

Spill Container Test Results ☒ Pass ☐ Fail

☐ Pass ☐ Fail

☐ Pass ☐ Fail

☐ Pass ☐ Fail

Tank ID

Spill Container Manufacturer:

Method of Cathodic Protection ☐ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

☐ Nonmetallic ☐ Other

Is the spill container minimum capacity five gallons excluding riser volume?

☐ Yes ☐ No*

☐ Yes ☐ No*

☐ Yes ☐ No*

☐ Yes ☐ No*

Method to keep spill container empty

☐ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

☐ Drain ☐ Pump ☐ Other

Spill Container Test Results ☐ Pass ☐ Fail

☐ Pass ☐ Fail

☐ Pass ☐ Fail

☐ Pass ☐ Fail

8. COMMENTS

Describe all answers marked "Other," "No," or "Fail" and each proposed remedy.

Other Cathodic Protection Comments: || Other Method Comments: || Failure

Explanations: || Additional Comments:

☐ Spill containers do not have a minimum capacity of five gallons and require replacement.

Spill Container Testing Report Form

TYPE OF ACTION ☐ Installation ☐ Repair ☒ 12 Month

1. FACILITY INFORMATION

CERS ID

10045075

Certification Date

2025-10-22

Facility Name

CA Army National Guard Barstow FMS#2

Facility Address

1601 Armory Rd

City

Barstow

ZIP Code

92311

2. SERVICE TECHNICIAN INFORMATION

Company Performing the Certification

SunWest Engineering Constructors, Inc.

Phone

(888) 588-8737

Mailing Address

4780 Cheyenne Way, Chino, CA 91710 Service Technician Performing Test

Westley Troncoso Contractor/Tank Tester License Number

703190

ICC Number

9430867

ICC Expiration Date

2026-01-03

3. TRAINING AND CERTIFICATIONS

Manufacturer and Test Equipment Training Certifications Expiration Date

VEEDER - ATG Technician 2026-02-11

4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING

TEST

I hereby certify that the monitoring system is operational in accordance with California Code of…