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8-22-07;10:23AM;SACRAMENTO EMC <br />Work Order # 126686 <br />• <br />• <br />;916 925 2816 a A- a <br />Sacramento Equipment Maintenance Company, Inc <br />Work Order # 126686 <br />Site Address: <br />7/11 #32190 <br />Deto of Tostinp/Sorvioing: <br />08-21-07 <br />4943 South State Route 99 <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />X <br />1 3 g.p.h.' ; <br />Stoddon, Ca 95M <br />0.1 g.p.h.2 <br />Was accuracy of system water level readings tested? <br />209-939-0679 <br />Were all probes reinstalled properly? <br />F. In -Tank Gauging / SIR Equipment <br />Check this box if tank gauging is used only for inventory control. <br />Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Yes <br />No <br />Complete the following checklist: <br />Complete the following checklist: <br />X <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />(Check all that apply) <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />X <br />1 3 g.p.h.' ; <br />Was accuracy of system product level readings tested? <br />0.1 g.p.h.2 <br />Was accuracy of system water level readings tested? <br />X <br />Were all probes reinstalled properly? <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />X <br />Were all items on the equipment manufacturers's maintenance checklist completed? <br />(Above shaded boxes need to describe how and when these deficiencies were or will be corrected in Section H below) <br />G. Line Leak Detectors (LLD): I Check this box if LLDs are not installed. <br />Yes <br />No <br />NA <br />Complete the following checklist: <br />X <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />(Check all that apply) <br />Simulated Leak rate: <br />X <br />1 3 g.p.h.' ; <br />0.1 g.p.h.2 <br />0.2 g.p.h.' <br />X <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />X <br />I Was the testing apparatus properly calibrated? <br />X <br />I For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />X <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />X <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or <br />disconnected? <br />X <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a <br />test? <br />X <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N(Aye <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />shaded boxes need to describe how and when these deficiencies were or will be corrected in Section H below) <br />H. Comments: Replaced PLLD sensor In (91) only, tested (91) PLLD only ok. <br />03/01 county/000OFstate/3-monitoringcort.wpd Page 4 of 6 <br />