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f1A'Y-23-2812 11 12 Service Station Systems 400 938 8888 P.89 <br />Monitoring System Certification - P.ye 3 of 3 <br />Site Address: 10858 Trinity Pkwy Pate of Testing/Servicing._ 518112 <br />F. In - Tank Gauging I SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br />❑ Check this box if no tank gauging or SW equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perfol-in leak detection monitoring. <br />Com lete the folio ing checklist. <br />❑ Yes C No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ Yes ❑ No* Were; all tank gauging probes visually inspected for damage and residue buildup:' <br />0 Yes ❑ No* Was accuracy of system product level readings toted? <br />❑ Yes 0 No* Was accuracy of system water level readings tested? <br />❑ Yes © No* Were all probes reinstalled properly? <br />❑ Yes ❑ No* Were all items on the equipment manufact.urer's maintenance checklist completed? <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): © Check this box if LLD's are not installed <br />w Yes <br />© No* <br />For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br />0 N/A <br />(Checkall that apply) Simulated leak rate: 10 3 g.p.h. (l.): 0 0.1 g.p.h. (1): d 0.2 g.p.h. (2.). <br />Notes: 1, Required for equipment start-up certification and annual certification. <br />2. Unless mandated by local agency, certification req wired only for electronic LLD start-up. <br />® Yes <br />D No* <br />Were all LLD's confirmed operational and accurate within regulatory requirements' <br />M Yes <br />D No* <br />Was the testing apparatus pro2crly calibrated? <br />❑ Yes <br />❑ No* <br />For mechanical LLD's, does the LLD restrict product flow if it detects a leak? <br />® NIA <br />a Yes <br />0 No* <br />For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? <br />D N/A <br />M Yes <br />❑ No* <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconnected'? <br />19 Yes <br />0 No* <br />For electronic LLD's, does the turbine automatically shirt off if any portion of the monitoring system <br />❑ N/A <br />malfunctions or fails a test? <br />® Yes <br />D No* <br />For electronic LLD's, have all accessible wiring connections been visually inspected? <br />D N/A <br />9 Yes <br />❑ No" <br />Were all items on the equipment manufacturer's maintenance checklist complctcd? <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: Replaced entire Turbine assembly, purged 500 gallons and Passed 3 gph test. <br />Tested Diesel LLD only, <br />