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OCT-01-2004 18 37 SERVICE STATION SYSTEM 40e 971 0135 P.06 Monitoring System Certification-Fay J of 3 Site Address: 1804 West 11Th. Street @ Corral Hallow Date of Testing/Servicing: 912104 F. In-Tank Ganging/SIR Equipment: @,g Check this box if tank gauging is used only for inventory contro L] Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist. ❑Yes ❑No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑Yes ❑No* Were all tank gauging probes visually inspected for damage and residue buildup? C1 Yes p No* Was accuracy of system product level readings tested? ❑Yes ❑Na* Was accuracy of system water level readings tested? ❑Yes ❑No* Were all probes reinstalled properly? L]Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? *In Section H below,describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors(LLD); ❑ Check this box if LLD's are not installed. Complete the following checklist; Ig Yes p No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? ❑N/A (Check all that apply) Simulated leak reate: N 3 g.p.h. (1.); ❑ 0.1 g.p.h.(2.); o 0.2 g.p.h.(2). Notes: 1. Required for equipment start-up certification and annual certification. 2_ Unless mandated by local agency,certification required only for electronic LLD start-up. ❑Yes ig No* Were all LLD's confirmed operational and accurate within regulatory requirements? g Yes ❑No* Was the testing apparatus properly calibrated? Q Yes p No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? 11 N/A tg Yes ❑No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? ❑N/A Qg Yes p No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled ❑N/A or disconnected? Ig Yes p No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system ❑N/A malfunctions or fails a test? 19 Yes p No* For electronic LLD's,have all accessible wiring connections been visually inspected? ❑ N/A pg Yes ❑No* I Were all items on the equipment manufacturer's maintenance checklist completed? *In Section H below,describe how and when these deficiencies were or will be corrected. H. Comments: Regular north turbine PLLD did not pass 3 gph test possible air in line.