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1-84-202 8:29AM FROM SACRAMENTO EMC 9169292816 P. 8 <br /> Sacramento Equipment Mainta=f;e Company,Inc Work Order#106605 <br /> Site Address: PGL094-Stockton Service Center Date of Testing/Servicing: 11/01/01 <br /> 4040 West Lane-Stockton <br /> F. Lt-Tank Gauging/SIR Equipment ✓ Check this box if tank gauging is used only for inventory control. <br /> Check this box if no tank gauping or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Y. N. Complete the following chctkliSt: <br /> Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Was accuracy of system product level readings tested? <br /> Was accuracy of system water level readings tcstcd? <br /> Were all probes reinstalled properly'? <br /> Wcrc all items on the equipment manufacturers's maintenance checklist completed? <br /> (ai6out sisadeti boxes'iiCed ci;de n ............ ......urs t�9sific�6rie.•nvere or t lra uurectefl`ia Sectidi3 H below) <br /> G. Line Leak Detectors(LLD): J Check this box if LLDs.are not installed. <br /> Yes No NSA Complete the following checklist: <br /> J For equipment Start-up or aturual equipinetit eertiflcation,was a leak simulated to verify LLD pc forrnance? <br /> (Check al apply) <br /> Simulated Leak rate: ,/ 3 g.p.h.'; 0.1 g.p.h.= 0.2 g.p.h.= <br /> J Were all LLDs confirmed operational and acc:uratc within regulatory rt'quirments? <br /> f Was the testing apparatus properly calibrated? <br /> J For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ✓ For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system,is disabled or <br /> disconnected? <br /> ./ For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring Vstein malfunctions or fails a <br /> test? <br /> ./ For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> J Were all items on the equipment manufacturer's maintenance checklist completed? <br /> (Abov 4hadod hnxei need to dcsdriM.h alit w These tte iClenztCa llttre aT Yl�ll lay pca�it:Giod n et4lc $bclqur� <br /> e <br /> H. Comments; <br /> 03101 counryl0000f/state/3-monitoringcert.wpd Page 3 of 4 <br />