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07/17/2012 18 38 <br />(209) 465-4988 MaryAnn Henderson <br />Monitoring System Certification • <br />• <br />Page 4;12 <br />F. In -Tank Ganging / SIR Equipment: ® 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 />Complete the following checklist: <br />❑ Yes <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />• Yes <br />❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ 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 />❑ Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />❑ Yes <br />1 ❑ No* <br />I 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): ❑ Check this box if LLDs are not installed. <br />t-om a: re tae lorwm <br />cnecKust: <br />® Yes <br />❑ No* <br />❑ N/A <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />I (Check all that apply) Simulated leak rate: ® 3 g.p.h.; [10, 1 g.p.h ; ❑ 0.2 g.p.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 />® N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ No* <br />0 N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ No* <br />® NIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />❑ Yes <br />❑ No* <br />® N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />malfunctions or fails a test? <br />LYes <br />E]No* <br />® N/A <br />For electronic LLDs, have all accessible wiring cormections been visually inspected? <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- 1n me aecuon m neiow, aescnbe now ana when these denctencies were or will be corrected. <br />IL Comments: Adjusted 314 tum 91 Premium LD2000 to get passing result. <br />Page 3 of 3 <br />