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7— 6-05; 9:41AM;Sacremen.to EMC ;916 9262816 # 4,' <br /> Sacramento Equipment Maintenance Company,Inc Work Order#119696 <br /> Site Address: Valley Pacific Cardlock Date of Testing/Servicing: 06-28-05 <br /> 930 E Victor Road <br /> Lodi,Ca. <br /> F. In-Tank Gauging/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 /> Yea No Complete the following checklist: <br /> X Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> X Were all tank gauging probes visually inspected for damage and residue buildup? <br /> X Was accuracy of system product level readings tested? <br /> X - Was accuracy of system water level readings tested? <br /> X Were all probes reinstalled properly? <br /> X Were all items on the equipment manufacturers's maintenance checklist completed? <br /> (Above shaded boxes need to describe how and when thesetlefi0eneies wereorwi he rgrigctad to Section]I below)' <br /> G. Line Leak Detectors(LLD): Check this box if LLDs are not installed. t <br /> Yes No N/A Complete the following checklist: <br /> X 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: X 1 3 g.p.h.1; 0.1 g.p.h? 0.2 g.p.h.- <br /> X Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> X Was the testing apparatus properly calibrated? <br /> X For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> X For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> X For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> disconnected? <br /> X Forelectronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a <br /> X For electronic LLD,,have all accessible wiring connections been visually inspected? <br /> X Were all items on the equipment manufacturer's maintenance checklist completed? <br /> (Above shaded boxes need to descfibd.Itotvand tNhen these de$ciencies we re'otwill'bd6bo dct In SectionH below) <br /> H. Comments: <br /> 03/01 county/00OOf/state/3-monimringecrt.wpd Page 3 of 4 ��� <br />