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May 14 04 12:18p Car ie Brown'' [20 461-6342 p.4 <br />01/02/1`395 03:27 2-5-5 22 <br />CALAVERAS ENV HEAL PACE 03 <br />Monitoring System Certiilcadon <br />FacdityNarne: .lice of icauDlyJdiLe.sif t � � � <br />(3 Cbtck than box if tank gauging is used onw <br />only for invtory control. <br />F. In -Tank Gaugi �gEqujpwent: <br />This section must be completed if in -tank gauging equipment is used to perform leak detection mordloring. <br />Software Version Installed: Q <br />Yes I Q N.71, Has ail input wiring been inspected for proper entry and temunation, including testing for grouted faults? <br />{lif Yes Q No, Were all tm k gauging probes visually inspected for damage and residut buildup? <br />gj yes C1 No' Was accuracy of system product/waste level readings tested? <br />yes C2 No" Was accuracy of system water level readings tested? <br />& Yes Q No, weM all alarms activated and did they frtmcrion properly? <br />Oyes Q No• Were all items on the equipment manufacttuet s m—tcanme checklist completed? <br />" In the Section EL blow, describe how and when these deticiencles were or will be corrected_ <br />G. Line Leak Detectors (LLD): Q Check this box if LLDs are not imta led. <br />!`.mintier the foHowlno <br />Ill Yes <br />® Ne <br />Was a leak simmlatcd to verify LLD performance? (Check all than apply) <br />Simulated leak rate: JR 3 g -p -h.; Q 0.1 g p -h.; Q 0.2 9 -p -k- <br />® Yes <br />U No` <br />Were all L.I.Ds confirmed opetational and accurate within regulatory requirements? <br />If Yes <br />Cl No, <br />Was the testing apparatus propctly cahlmted? <br />0 Yes <br />C) No" <br />For mecbanical LLDs, does the LLD restrict product flow if It detects a leak? <br />iQ N/A <br />® Yes <br />D No, <br />For electronic LLDs, does the turbint automatically shut off if the LLD detects a leak? <br />NIA <br />0 Yes <br />D No, <br />For elactmnic LLDs, does the ratbite automatically strut off if any portion of the mosxitorittg system is disabled <br />10 NIA <br />or disc ed? <br />D Yes <br />Q No* <br />For electronic LLDs, docs the turbine automancaUy shut off if any porion of the monitoring system <br />It N/A <br />malfunctions or fails a test? <br />❑ yes <br />® No* <br />For electronic LLDs, have all acccssibie wiring cmmections been visually inspected? <br />NrA <br />W Ycs <br />C3 No" <br />If necessary to proper equipment operation, arc fuel filters to good condition? <br />® N/A <br />ID Yes <br />C1 No' <br />Were all items an the equipment manufacturer's maintenance checklist completed? <br />In the Stenon hl. below, aeserrbt FLOW ana wnen these ncHc erRC= wcrar V7 *qua ase <br />CALtwsl <br />Page 3 <br />fT�i�s.•�: <br />