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MONITORING I I IA CERTIFICATION / TEST DATE: October 10 2013 A1. FACILITY A2. OWNER Name Olympian # 487 Name Flyers Energy LLC. Address 983 Moffat Blvd., Manteca, CA 95336 Address 2360 Lindbergh Street, Auburn, CA 96602 Phone # 530-885-0401 Phone # 530.885-0401 Contact Amanda A alt Contact Amanda A alt 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 gaugung equipment is used to perform leak detection monitoring. Complete the following checklist; Jo * Has all Input wiring been Inspected for proper entry and termination, including testing for ground faults? Were all tank gauging probes visually Inspected for damage and residua buildup? Was accuracy of system product level readings tested? Was accuracy of system water level readings tested? Were all probes reinstalled properly? Ware all items an the equipment manufacturer's maintenance checklist completed? Jo * Jo * Jo* Jo * Jo* * In 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: ■ Yes ❑ No* For equipment start-up or annus ❑ NIA (check all that apply) Simulated ■ Yes ❑ No* Were all LLDs confirmed a eratl ■ Yes ❑ No * Was the testing apparatus props ® Yes ❑ No* For mechanical LLDs, does the i ❑ NIA ❑ Yes ❑ No' For electronic LLDs, does the to ■ NIA ❑ Yes ❑ No* For electronic LLDs, does the to ® NIA or disconnected? ❑ Yes ❑ No* For electronic LLDs, does the to ■ NIA or falls a test? ❑ Yes ❑ No * For electronic LLDs, have all ac4 ■ NIA ■ Yes ❑ No* Were all Items on the equipmenl 1001 Page 3 of 3 ENVIRONMENTAL HEALTH DEPARTmENT