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Aug 29 13 04:45a <br />I <br />Reliable Petroleum <br />A& <br />08/29/2013 11:18AM FAX 925238 <br />Monitoring System Certirseallon <br />2098458953 p.4 <br />Guadalupe Sanchez 0 gocovooio <br />0 Chock this box if tank 90494 is used Only for inventory con"'. <br />F. In -Tank Gauging/ SIR Equipment:o check this box if no tank gOU&S or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perfacm leak detention MODhOr*- <br />CompIde the fowwing list:❑ entry and termination, including testing for ground faults? <br />yes [I Not 'Has all input wiring been inspected ror proper <br />(2 yes C] NO Were all tank gauglin & probes visually inspected for damage and residue buildup? <br />,11 yes [] No* Was aCMMCY Of SYMM Product level readings tested? <br />0 yes [I No* WO accuracy of system water level reading tested? <br />0 yes C3 0* Were all probes reinstalled properly? <br />C3 yes 0 No* Were all items on the equipment manufacturer's maintenance checklist Completed? <br />k to the Section K, below, describe how and when these deOciendtos were Or will be corrected. <br />G. Line Usk Detectors (LLD): [3 Check this box if 1,LD3 are not installed. <br />Complete the follOwin checklist, <br />was a leak Simulated to verify LLD peribrI310000! <br />Yes I <br />I N®* <br />For equipment c"rt-UP or annual equipment Lerlification, <br />leak rate' 0 3 R.PJL; 13 0.1 g -p -h; 0 02 g.P.11. <br />❑ <br />11 that apply) Simulated <br />is ya <br />0 1Vok <br />were all LLDs confirmed operational and accWtO with"' regulatory req u'M <br />R yes <br />C] No* <br />Was the, jesting apparatus properly calibrated? <br />yes <br />C] Ne <br />For mubanical LLD-% does the LLD restrict produCt flow if it detects a leak? <br />0 yes <br />. Q N/A <br />El No* <br />For electronic LLDs, does th e iurbinu automatically shut offirthe LLD detects a leak? <br />yes <br />EK NIA <br />0 No* <br />For electronic LLDs, does the turbine auto matically shut off if any portion of the monitoring system is disabled <br />E] <br />:@ NIA <br />or disconnected? 1 <br />does the turbine auto . allysbtt off if any portion of the monitoring systemsystemmalfwle00 <br />0 yes <br />0 No* <br />For electronic LLDs, <br />IS NIA <br />01 foils h test? <br />[3 Yes <br />171 No* <br />w <br />For electronic LLDs, have all aCQO5sb1Vwiring cOnnecUOUsbeen visually inspe C'ted ? <br />a yes <br />0 NIA <br />0 No, <br />were all items on the equipment manufacturer's maintenance checklist completed? <br />In the Section yi, below, describe how and when these I der',tiencles were or will, be corrected. <br />it. Comments-. <br />$I-Mecha Ki -- <br />page 3 of 4 <br />