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JUN-25-2005 07:27 Service Station Systems • 408 938 8888 P.05 <br /> .J W 1 i1 GVLJM ..�--+i `.� wr r..w r ' vy..v�..... ...... - -- .,-- <br /> 1l�onitoring System►Certmeation.Pa 3 of 3 <br /> Site Address: 3725 N.Trao Blvd.@ 1-205 bate of Texting/Servicing: 5123105 <br /> F. In-Tuk Gauging/Sly Equipment., WCIeck this box if tank gauging is used only for irrv�control. <br /> 0 Check this box if no tank ganging or SCk equipmestt is installed. <br /> This soation must be complOted if inrte mk gaugig equipment is used to perfom leak detection monitoring. <br /> Coro to ache iaJbw►lahg checklist: <br /> G No* Dias an input wiring bm sn cted for proper entry and termination,m utg testing for ground fags? <br /> Yes Q No* were all tante ganging probes visually inspected for damage and residue buildup? <br /> OS p No's Was accuracy o£system product level lendings tested? <br /> es p No* Wats accuracy of system watw tevel readings tested? <br /> p No* Were all probes reinstalled properly? <br /> eg o No" Were all items on the equipment manActurces maintevance checklist completed? <br /> 'fA ftjon H bellow,describe how au wen these deficiencies wero er will bt-90MCUd. <br /> G. Line Leak Detectors(LLD): p Check thin box if LLUs we not instWed. <br /> CAg4itle <br /> Q NO For Kpipment etas-up or annual equipment ion was a leak shmu.lated to verify LLD pafonnanoe? <br /> C3 N/A (Chad all shat apply) simulated leak reate: g.p.h.(1.); o 0.1 g.p.h-(2-); 0 0.2 g.p.h.(2.). <br /> Notes: 1. Required for eguhment start up certi&ation and ahuatal certification, <br /> 2. Unless mmxkW by local agency,cerdficatica Mulmd ody for electronic LLA start-up- <br /> es a Now Wore all LLD's confirmed operational ad nouratc within regulatory requirements? <br /> es o No* Was the testing appardus partpatt calibrated? <br /> es Ct No* For machaaicat LLIYs,does die LLD team product Sow if it detects a <br /> iiIX- <br /> gryes p W For electronic Li.O's,does the ttrbine automatically shut off if the LLD detects a leak? <br /> p N/A <br /> ea= p <br /> No Far electroafa UM,does the turblac autohnaticaliy shut off if any ptrrtion o the raanftoriag system is die ted <br /> q N/A or disconnected? <br /> as p Now Fac Koranic LLD's,does she turbina sutaaaancallY abut off i£any partion of the monitoring system <br /> C)NIA malfunctions or fails a test? <br /> Yes d No; For electronic LLA's,havo ail accessible wiring connections been visually inspected? <br /> Gi NIA <br /> tg p jape Were l items oa the equipmeeA manafaaurer's maintenance ahs st completed? <br /> old d seetlatt]Et below,desatthe how and when these deft Wades metre of will be corrected. <br /> H. Comments: <br />