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Jun 11 04 12:57a Mike Dotten (209) 533-2650 p.3 • In -Tank Gauging / SIR Equipment: ❑Check this box if tank gauging is used only for inventory control and disregard the following section. ®Check this box if no tank gauging or SIR equipment is installed and disregard the following section. (This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring). Comnlete the following checkikt- ❑ 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 ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? AU MW OWUMM a, ocivw, ura:riuC uow anu ween ineie ueneiencies were or win oe Corrected. G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed and disregard the following section. ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a teak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. ❑ Yes ® No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ® N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ® N/A ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ® N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system ® NIA malfunctions or fails a test? ❑ Yes ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? ® N/A ® Yes ® No* Were all items on the equipment manufacturer's maintenance checklist completed? -- in the aecrion n, oeiow, AescriDe now and when these deficiencies were or will be corrected. H. Comments: Lines and LLDs were not tested. The monitoring system was in 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. Page 3 of 3 03101