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06/29/2005 13:55 2099519352 VILLAGE WEST PIAPINA PAGE 05 Nor 03 0:5 08t08p t a Dott:en (2L 533-2650 p.3 In -Tank Gauging / SIR Equipment: []Chet* this box if hulk gauging is uwd ottly for inve:ttoq control and disregard ilce following section. EDCheck this box if no lank gauging or SIR equipment is utstatled and disregard the following section. (This section must be completed if in -tank gauging equipment is used to pertu,ari leak detection morinoring). Complete the folio Ing checklist: Yes [] No" Has 811 input wiring been inspeCted for proper entry and termination. including testint for ground faults? Yes [j No• Were all tank -ganging probes visually inspected for damage and residue buildup? Ycs ❑ Nos Was accuracy of,Qystero prcrduci level reaciings tested? ❑ Yes Ne Was accuracy of system water lcvel readings tared',' Yes ❑ No* %Vere all probes reins(alltd properly? -- ❑ Yets ❑ NO* Were all items on dta equipment manufacturer's maintenance chxkhst completed'? " in the Section H. below, describe how and when these defii lencles were or will be corrected. G. Line Leak Detectors (LLD). 3 Check this box if LLDs are not installed and disrcgtird Iho following sct;6041. D Yes 0 No' For agaipmettt etan-up or annual equiptneitt cartilication, was a leak simulated to \'cnfy LLD performance'? ❑ N/A (Check all that app(v) Simulated leak rote, 0 3 g.p.h. ; ❑ 0.1 g.p.11 ; ❑ 0.2 ggh. ❑ Yes ® No* Were all LLDs oonfirmed operational and accurate wheels regulatory requirements? Yes No* Was the testing apparatus properly calibrated? Yes No* For mechanical I_Mx, does the LLD restrict product ftorN' if it detects a leak? N/A Yes No* For electronic LLDs, does the turbine automatically shut off if the LU) detects a leak! N/A _ {� Yes ❑ No* For olaotronic LLDs, does the turbine automatical1v shut off if anv gonion of the ruonitoring system is disabled ® N/A or discotuimted? Ycs No* For electronic LLDs, docs the turbine automatically, shut off if any portion of the monitoring system WA malfunctions or fails a icm? _ Yes No* For electronic LLDs, have ali accessible Nvirirb conliections been visually inspected'? Yee; ® No* Were all items on the equipment manufacturer's waintenance checkirst complmcd' " In the Section H, below, describe how ting when these amciencie,% were or ►vat oc currectca. H. Comments. Lines and LLDs were not tested. The monitoring system was iu such unworkable condition that it was decided to voluntarily shut down the facility until repairs could be implemented and monitoring restored. At that time line tests and LLD tests will be performed. Fitge 3 of 3 03101