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01/0211995 03:27 2097546722 CALAVERAS ENV TH PAGE 03 <br />-:dohitoring System Certincatloo <br />Facility Name: .> csr at a ratsng, sus t �. ray /_ `J <br />F. Iia -Tank Gauging EgUipment: O Check osis box if tank gauging is used only for invenory control. <br />This section must be completed if in -tank gauging egUipment is used to perform leak detection monitoring, <br />software Version Installed: 14�- 3 ' 0 7 -- <br />CD ere the fallowfa <br />® Yes O Ne Has iii input wiring been inspected for proper miry and ter mumnon, including testing for groin f Cults? <br />IN Yrs Q No` We= all tank gauging probes viswlly inspected for datrsage and xt sidue buildup? <br />a Yes 13 No- Was ucscy of systtxa product/waste level rea&ags tested? <br />'s Yes Q Nom-, WAS ac=acy of system water level readings tested? <br />Yrs Q Na" Were all alarm: activated and did they function properly? <br />Xes ®Na• W ill items 4012 the aquipment manufactures s maintenance checklist completed? <br />Ia the Section 9f. below, ctctcribe bow mad when these defaciczWes were or wlli be corrected. <br />G. Line Leak De[ (LLD): Q Check this box if LLDs are not installed. <br />iramnlete the fotinwter rhe rkti�t <br />• In the Secttot: $, below, how and when tone defieieades were or .rill be cerreeted. <br />H_ Co ts: <br />CALM -4t <br />Page 3 <br />S"d 2fr89—T9b (602) umoag ai..t.ata0 <br />d0i,:ao 6o E0 Tnr <br />Q Na• <br />Woe A leak simulated to verify LLD perfbsarance (Check all that apply,)Simulatod <br />iexlt rate: 3 g.ph.; Q 0.1 g.p.h_; O 0.2 g.p.A. <br />FIqW4yyy--- <br />Q No• <br />West: all LLDs confirmed ope=onal and accurate witian regulatory requirements?D <br />No• <br />Was the testing apparatus properly ? <br />Q NO' <br />For snechanieai LLDs, docs the LLD restrict product flow if :t detects a leak? <br />Q N/A <br />D Yes <br />D No' <br />For decaronk LI Ds, docs the turbine automatically shut off if the LLD detects a teak? <br />15 NIA <br />O Yes <br />Q No• <br />For e&xe+Dnic LI -Ds, dais the nabux automatically shut off if any portion of the tnossitoring system is disabled <br />IN WA <br />or uric ? <br />Q Yes <br />Q No" <br />For electronic LLDs, does the turbinc autart atically Shutt Dff if any portion of the monitoring system <br />IQ Nt/A <br />vulffiunctions at falls a tat? <br />O Yes <br />® No' <br />For clecamic LLDs, have ail acecssibic wiring comectious been visually ut_specmd? <br />0 VIA <br />® Ycs <br />13 Na' <br />if necessary to proper equipment operation, art furl filters in good condihoa? <br />0 WA <br />III Yes <br />® No• <br />WCre all it=m on the equipment tttanufacturer's maintenance checklist completed? <br />• In the Secttot: $, below, how and when tone defieieades were or .rill be cerreeted. <br />H_ Co ts: <br />CALM -4t <br />Page 3 <br />S"d 2fr89—T9b (602) umoag ai..t.ata0 <br />d0i,:ao 6o E0 Tnr <br />