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'a 06/06/2002 10:33 2093653 TANKNOLOGY 0 PAGE 09 <br />Monitoring system certification <br />site Address; 1960W. 11TH STREET <br />r. in—Tank Gauging / SIR $quip meat <br />Data► of Tastingaservice: 06/04/2002 _-- <br />x0 Check this box if tank gauging Is used only for Inventory control. <br />0 Check this box If no tank gauging or SIR equipment is Installed. <br />This section must be completed If in -tank gauging equipment Is used to perform leak detection monitoring. <br />Couplet• tihe follovi.ng checklist: <br />Yes <br />❑N:: <br />Has all input wiring been inspected for proper entry and termination, induding testing for ground faults? <br />QYy,; <br />❑ - <br />Were all tank gauging probes visually Inspected for damage and residue buildup? <br />El yes <br />nNn <br />Was aocurocy of system product level readings tested? <br />13 yes <br />❑N<, <br />Was accuracy of system water level readings tooted? <br />Yes <br />N,: <br />Were all prc+bea reinstalled properly? <br />Ely e 14 <br />Ni <br />Were all items on the equipment manutacturoW maintenance cheddist completed? <br />in the zjecson n, Domer, aesc:rtce naw rtna wnen mese aenc+enc,es were or wm ow wrrec:rau. <br />Line Leak Detectors (LLD) : ❑ Check this box it LLDs are not Installed. <br />Coeblete the followinv checklist: <br />❑ Ye: <br />❑ rr„ JF]N/A <br />For equipment start-up or annual equipment aartlf mtfon, was a leak simulated to verity LM performance? <br />(CheCk all that apply) Simulated leak rak►: a 3 g.p.h ❑ 0.1 g.p.h ❑0.2 g.p.h <br />M Ye* <br />©Nu <br />Were all LLDs confirmed operational and mcurete within regulatory requirements? <br />M yob <br />N,: <br />Was the testing apparatus properly calibrated? <br />© Ya: <br />©N + <br />©N/A <br />For mechanical LLOs, does the LLD restrict product flow if it detects a leak? <br />❑a yes <br />❑�, ' <br />❑ N/A <br />For electronic LLDs, does the turbine automagc* shut off If the LLD det9ots a leak? <br />O yen <br />nN,- <br />❑ N/A <br />For slactronic L LDs, does the turbine aulomatically shut off if any portion of the monitoring system Is disabled or disconnected? <br />OYes <br />❑Ne <br />❑ N; A <br />For elactronic tt.Ds, does the turbine aulnntadcatly shut off if any portion of the monitoring system malfunctions or fails a test? <br />❑x Yes <br />❑Ne <br />EIN I A <br />For almtronic LLDs, have all accessible wiring connections beet visually Inspected? <br />1.,..1 yes <br />ON+! <br />Were all Items c,n the equipment mahufarturer!� maintenance choofdist completed? <br />• in ane somn H. belOW, tlescnte how ano when these deficiencies were or will ba corracm, <br />K. Comments: <br />Michael Levesque -- <br />VR Gen 000-00-5505 <br />. _.... page 3 of 9 <br />