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81/82!1995 03:27 2897546722 <br />r.ALAVERAS Et V HEAL;H PAGE 03 <br />morltoring System CCertttfcidov <br />Factlity Nan -;e: fl J%�; I % C /l � .� ccc of i Ca;un ,.xi <br />F. Iia -Tank Gauging Equipment: Q Check this box of tank gauging is used only for inventory control_ <br />This section must be completed if in -tank gauguig equipment is used to perform leak detection monitoring. <br />Software Version Installed: / cf' <br />0 Yes Q Iia• Has &H iv"t wiring been inspected for proper entry and ta-nni:sarion, including testing for grog faults? <br />Yes Q No" Were all task gauging probes v wally inspected for daauge and residue buildup? <br />gig Yes a No' Was accuracy of syvr= product/waste level readings tested? <br />lag 'YesQ Now Was accuracy of system water level readings tcstcd? <br />NiYes Ci Woo Were all slum activated and did they function properly? <br />Yes Q Ne Were an items on the equipment manufacturer's maintcaance checklist completed? <br />...�.--,_.-�....—.�...+++.. ......tee <br />" <br />In the Section M below, describe how and when these deficiencies were or will be corrected - <br />G. Line Leak Detectors (LLD): D Check this box if LLDs are not insolled. <br />!'nrnnast. d10 fnHowinv ehev-i : <br />Yes <br />Q No' <br />Was, a leak simulated to verify LLD perfotmt<ace? (Check all A- apply) <br />Siandamd leak rate: 12 3 g_p.h.; Q 0.1 &P -h., 0 0.2 9.P -h- <br />a Yrs <br />U Ne <br />Were all LLDs confirmed operAnonai and accurate within regulatory requirements? <br />U Yes <br />® iso• <br />Was the testing apparatus properly calibrated? <br />Q Yes <br />Q No' <br />For mechanical LLDs, docs the LLD restrict product flow if it detects a leak? <br />NIA <br />18 Yes <br />Q No' <br />For ctecuonic LLDs, docs the turbine automatically shut off if rite LLD detects a kale? <br />L) NIA <br />19 Yes <br />Q iso' <br />For LLDs, does the nu'bim automatically shut off if any portion of the monitoring system is disabled <br />Q N/A <br />or disc ? <br />N Yes <br />Q No' <br />For electronic LL.D6, docs the turbine automatically shut off if any portion of the monitoring system <br />Q N/A <br />malfutxziovs or fails a test? <br />i11 Yes <br />O No* <br />For ekeeaonic LLDs, have an accessible wiring connections been visually Inspected? <br />0 N!A <br />la Yes <br />® 1`to'. <br />If neeessary to proper equipment operation, are fuel fitters in good canditioa? <br />Q WA <br />0 yes <br />I El No' <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />4 In the Section H, below, deserlbe 11014'330 Innen taesc Gt11C1eUr= were Of w1u 41c cvc as�scu. <br />H. Comments: <br />CALM -61 <br />Page <br />E' d 2iF69- T 9b 16021 umo.ag a i .a.ae0 <br />e9Et60 co 82 Rew <br />