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Facility Name: Costco # 1031 Manteca (Page 3) <br />In -Tank Gauging: <br />®Check this box if tank gauging is used only for inventory control and disregard following section. <br />Complete the following checklist: <br />❑Yes <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground <br />faults? <br />El Yes <br />❑ No* <br />Were all tank -gauging probes visually inspected for damage and residue buildup? <br />L1 Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />❑ Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />E] Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />11 L] Yes <br />1E1 No* I <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />in the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): <br />❑ Check this box if LLDs are not installed and disreaard the followina section <br />®Yes <br />❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD <br />❑ N/A <br />performance? (Check a// that app/y) Simulated leak rate: ® 3 gph.; ❑ 0.1 gph ; E10.2 <br />h. <br />®Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />®Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />®Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />® Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ N/A <br />®Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />❑ N/A <br />is disabled or disconnected? <br />®Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />❑ N/A <br />malfunctions or fails a test? <br />®Yes <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ N/A <br />®Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />H. Comments: <br />