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Monitoring System Certification Address: 44 W. YOKUTS STOCKTON 95207.0 F. In -Tank Gauging/SIR Equipment Service Date: 11/22/2010 ❑ 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 gauging 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 readings tested? ® Yes ❑ 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 checklist completed? * In the 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 ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? ❑ N/A Simulated Leak Rate (check all that apply) ❑ 3.0 g.p.h ❑ 0.1 g.p.h ❑ 0.2 g.p.h ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? ❑ N/A ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ❑ N/A ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? * In the Section H below, describe how and when these deficiencies were or will be corrected H. Comments All functions normal on TLS 350 therefore no ground faults present. Suction system. Monitoring System Certification Page 3 of 4 12/07 3 2/21/07