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FEB-20-2006 15:13 Service Station Systems 408 938 8888 P.06/0? <br /> Monitoring System Cert cation-Fty*3 of 3 *0/ <br /> site Address: 2802 Country Club Blvd.@ Delano Ave Date of Testing/Servicing: 1/24/06 <br /> F. In-Tank Gauging/SIR Equipment: tp Check this box if tank gauging is used only for inventory control. <br /> O 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 /> Com tete the f Bowingchecklist: <br /> EYes❑Yes ONO* Hasa]] input wiring been inspected for proper entry and tennination,including testing for ground faults? <br /> 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 No* Was accuracy of system product level readings tested? <br /> 0 No* Was accuracy of system water level readings tested? <br /> 0 No* Were all probes reinstalled properly? <br /> 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> `In Section H below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): LI Check this box if LLD's are not installed. <br /> Com lete the followin checklist <br /> 0 Yes 0 No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br /> 0 N/A (Check all that apply) Simulated leak reate: 2 3 g.p.h. (1.); 0 0.1 g.p.h.(2.); 0 0.2 g.p.h. (2). <br /> Notes: I. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandated by local yency,certification required only for electronic LLD start-up. <br /> M Yes q No* Were all LLD's confirmed operational and accurate within regulatory requirements? <br /> M Yes 0 No* Was the testing apparatusproperly calibrated? <br /> 0 Yes 0 No* For mechanical LLD's,does the LLD restrict product flow if it detects a teak? <br /> 0 N/A <br /> ®Yes 0 No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? <br /> o N/A <br /> ®Yes ❑No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 N/A or disconnected? <br /> IS Yes 0 No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system <br /> 0 N/A malfunctions or fails a test? <br /> IN Yes 0 No* For electronic LLll's,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> 0 Yes 0 No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H below,describe how and when these deficiencies were or wt71 be corrected. <br /> H. Comments: Syphon Jet valve replaced ou 89 turbine,retested ok. <br />