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MONITIWING SYSTEM CERTL CATION <br />CERTIFICATION /TEST DATE: September 19, 2012 <br />Al. FACILITY <br />Complete the following checklist: <br />❑ Yes ❑ No* Were all tank gauging probes visually Inspected for damage and residue buildup? <br />A2. OWNER <br />❑ <br />Name <br />Tracy 76 - Reliance Gas Investments, Inc. <br />Name <br />Jivtesh Gill <br />Address <br />2420 W. Grantline Road, Tracy, CA 95337 <br />❑ <br />Address <br />4855 South State Hwy 99, Stockton, CA 95215 <br />Phone # <br />0 <br />Phone # <br />209-948-2438 <br />Contact <br />Jivtesh Gill <br />Was the testing apparatus properly calibrated? <br />Contact <br />Jivtesh Gill <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 gaugung equipment is used to perform leak detection monitoring. <br />Complete the following checklist: <br />❑ Yes ❑ No* Has all Input wiring been Inspected for proper entry and termination, Including testing for ground faults? <br />Complete the following checklist: <br />❑ Yes ❑ No* Were all tank gauging probes visually Inspected for damage and residue buildup? <br />Yes <br />❑ <br />❑ Yes ❑ No* Was accuracy of system product level readings tested? <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ Yes ❑ No* Was accuracy of system water level readings tested? <br />❑ <br />NIA <br />❑ Yes ❑ No* Were all probes reinstalled properly? <br />❑ <br />Yes <br />❑ Yes ❑ No* Were all Items on the equipment manufacturer's maintenance checklist completed? <br />No* <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />G. LINE LEAK DETECTORS (LLD): ❑ Check this box H LLDs are not installed. <br />Complete the following checklist: <br />❑ <br />Yes <br />❑ <br />No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ <br />NIA <br />(check all that apply) Simulated leak rate: ■ 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. <br />❑ <br />Yes <br />❑ <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ <br />Yes <br />❑ <br />No " <br />Was the testing apparatus properly calibrated? <br />❑ <br />Yes <br />❑ <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />NIA <br />❑ <br />Yes <br />❑ <br />No * <br />For electronic LLDs, does the turbine automatically shut off H the LLD detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system Is disabled <br />❑ <br />NIA <br />or disconnected? <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />❑ <br />NIA <br />or fails a test? <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually Inspected? <br />❑ <br />NIA <br />❑ <br />Yes <br />❑ <br />No " <br />Were all Items on the equipment manufacturers maintenance checklist completed? <br />J <br />* In Section H below, describe how and when these deficiencies were or will be corrected. <br />H. COMMENTS <br />Page 3 of 3 <br />