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Monitoring System Certification-Page 3 of 3 Site Address: 6425 N.Pacific Ave. Date of Testing/Servicing: 6116110 F. In-Tank Gauging/SIR Equipment: a Check this box if tank gauging is used only for inventory control. ❑ 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? ❑ Yes ❑ No* Was accuracy of system product level readings tested? ❑ Yes 0 No* Was accuracy of system water level readings tested? ❑ Yes 13 No* Were all probes reinstalled properly? ❑ Yes O 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): 0 Check this box if LLD's are not installed. Complete the following checklist: CK Yes ❑ 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:R 3 g.p.h.(L); O 0.1 g.p.h. (2.); ❑ 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. a Yes Q No* I Were all LLD's confirmed operational and accurate within regulatory requirements? Ix Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes l7 No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? m N/A CE Yes D No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? ❑ N/A Yes O No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? B Yes ❑ No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system ❑ N/A I malfunctions or fails a test? z Yes O No* For electronic LLD's,have all accessible wiring connections been visually inspected? ❑ N/A Ix Yes O 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: 6116/10 Replaced Syphon Jets on 87-1,87-2&91. Replaced Check Valve on 87-2. Need to return to repair&retest 87-2&91 PLLD's. 6/21/10- Ran test on 87-2 and 91 &both PLLD's failed. Replaced syphon jet on 87-2,purged 600 gallons of fuel to get air out of line,retested &passed. Replaced preset check valve and syphon jet on 91,purged 600 gallons of fuel to get air out of line-all passed. Per conversation with Garrett on 7/15,even though No PLLD Sensor's were installed,he does need to witness them passing.Tentatively scheduled to 7/20/10.