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1.2/19/2003 19:55 4089715 SSS INC PAGE 04 <br /> Monitoring Syxtern Certification-Page 3 of 3 <br /> site 7910 Sacramento Rd. (@ Hammer Lana Date of TestinglServicino: 11113103 <br /> F. In -Tank Gauging 1 SIR Equipment: a Check this box if taa.k gauging is used only for invcmlory control. <br /> Q Check this box if no tank gauging or SIR e4luipiucut is irnstalicd. <br /> This section rnrlct he completed if in-tattle �au�n�equipment is used to perfotxn leak detection monitoring. <br /> Complete the following checklist: <br /> ❑Yes ❑No* Has all input wiring been inspected for proper ei,tTy and teimlinativn,including testing for grormd faults? <br /> D Yes 0?vc�* were all ta1)1,gauging,probes visually inspected fur damage and zesidue buildup? <br /> 0 Yes ❑ No'u Nvas accuracy of system product level readings tested° <br /> ❑Yes Ci No* Was accuracy of system water level readings tested'? <br /> ❑Yes ❑ No* Wcre all probes reinstalled properly'? <br /> ❑Yes p No t Were all itE�ns o11 t11e equipment nianufacturcr's niaintena,nce checklist completed'? <br /> * In Section H below,describe how and when these deficiencies were or will be corrected. <br /> G. Lute.Leak Deter.tors(LLD): 0 Check this box if LLD's are not installed, <br /> Con, lete the following,checklist; <br /> CK Yes D Na* for equipment start-up or annual cc�uiptllent ccreiticatlon was a leak simulated to rpt iCy LLD peeforrnance'? <br /> ❑ N,'A (Check till ih at apply) SilnUlated leak nate: a 3 g.p,bh (1.); ❑ 0,1 g.p,h. (2.); ❑ 0.2 g.p.h,(2.). <br /> Notes: 1. Required rnr erlui�,rnent 41art-up certification and mutual Celli#icatiun. <br /> 2. 1Jnless rrtandated by local agency, certification re uired only for electronic LLD start-up. <br /> Yes Q No" 'Fere all LLD's eonfirnied operational and accurate within regulatory regrdrements? <br /> �Yes ❑ No* Was the testiu_apparatus properly calibratcO <br /> ❑Yes ❑ No* 'For mechanical LLD's,does the LLD restrict product flow if it detects a leak? <br /> M NIA <br /> X Yes rl Na* For cleccronic LLD's,does the turbine automatically shut oft`if the LLD detects a leak'? <br /> n \TIA <br /> go Yes to No" For electronic LLD's, does the turbine automatically shut off if any portion of the rnonitorin4 system is disabled <br /> ❑ N/A or disconnected? <br /> 0 Yes ❑ No* For electrozuc LLIJ's, does t17e turbine autornalICally shut off if any puriius,«t"aw,L1Uu;tvtil,g systcrn <br /> M NIA malfunctions or fails a test'? <br /> x Yes ❑ Nio* Fnr elertronic T.T-D's,have all accessible wiring cunttectiotls been visually inspected? <br /> ❑NIA <br /> Ycs 1 ❑No* Were all items on the equipn,cnt rnanufacturey's maintenance checklist completed? <br /> *In Section H below,describe how and when these deficiencies were or will be corrected. <br /> H. C:oinments: <br />