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;916 9252816 # 4/ 5 <br /> 1-15-e3; 2:31 PM;Sac rdmen to EMC i <br /> Sacramento Equipment Maintenance Company,Inc Work Order#110002 <br /> Site Address: Tracey Maintenance Station Date of Testing/Servicing: 11-27-02 <br /> 24081 Mountain House Parkway <br /> Tracey,Catif 95376 <br /> F. In-Tank Gauging/SIR Equipment Check this box if tank gauging is used only for inventory control. <br /> X 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 No Complete the following checklist: <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? I <br /> Was accuracy of system water level readings tested? ! <br /> Were all probes reinstalled properly? <br /> Were all items on the equipment manufacturers's maintenance checklist completed? <br /> (Above slradedlaoxeS need t0 describe how and when these deficiencies weie or will¢e corrected in S'ecdonFl belgw) <br /> G. Line Leak Detectors(LLD): X I Check this box if LLDs are not installed. <br /> Yes No NIA Complete the following checklist: <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: 3 g.Ph.'; 0.1 g.p.h? 0.2 g.p.h? ' <br /> Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Was the testing apparatus properly calibrated? <br /> 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 system malfunctions or fails a ! <br /> test? <br /> For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> EE I Were all items on the equipment manufacturer'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 /> H. Comments: <br /> 03/01 county/OOOOf/statef3-monitoringcertwpd Page 3 of 4 <br />