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nitoring System Certification <br /> Site Address: 3775 TRACY BLVD Date of Testing/Service: 09/26/2001 <br /> 1-205 <br /> F. In-Tank Gauging / SIR Equipment n 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 /> ®YM —]No' Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> ®Yes I ❑No' Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ®Yes O No' Was accuracy of system product level readings tested? <br /> ®Yes ❑No' Was accuracy of system water level readings tested? <br /> ®Yes FlNo` Were all probes reinstalled properly? <br /> ®Yes ONO` Were all items on the equipment manufacturersmaintenance 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 /> Complete the following checklist: <br /> For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> ®Yes No' N/A (Check all that apply)Simulated leak rate: ® 3 g.p.h ❑ 0.1 g.p.h 00.2 g.p.h <br /> ®Yes FiNo' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ®Yes F-1 No` Was the testing apparatus properly calibrated? <br /> ®Yes E]No' ©N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ®Yes DNo' N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ®Yes ONo' ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ®yes E]No- ❑N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ®Yes E]No' ❑N/A For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ®Yes ❑No' Were all items on the equipment manufacturers'maintenance checklist completed? <br /> `In the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> out side over fill alarm not operational but inside alarm is working no flappers <br /> page 3 of 3 <br />