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Monitoring System Certification 40 Site Address: 3725 N. TRACY BLVD Date of Testing/Service: 02/20/2008 F. In -Tank Gauging / SIR Equipment Check this box if tank gauging is used only for inventory control. ❑ Check this box if no tank gauging or SIR equipment is installed. This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. Complete the following checklist: ❑ 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 manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed. Complete the following checklist: Q Yes ❑ No * ❑ N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: Q 3 g.p.h ❑ 0.1 g.p.h ❑0.2 g.p.h X Yes ❑ No * Were all LLDs confirmed operational and accurate within regulatory requirements? X Yes ❑ No * Was the testing apparatus properly calibrated? ❑ Yes ❑ No * Q N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? Q Yes ❑No * ❑ N/A For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? ®Yes ❑No * ❑ N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? X❑ Yes ❑No * ❑ N/A For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? X❑ Yes ❑No * ❑ N/A For electronic LLDs, have all accessible wiring connections been visually inspected? 10 Yes ❑No * Were all items on the equipment manufacturers' maintenance checklist completed? * In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: L1 87 STP 352 SENSOR: NO HIGH LIQUID ALARM. ALL STP SUMPS 352 SENSORS TO BE REPLACED AND RETESTED. Page 3 of 3 Based on CA form dated 03/01