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F. In -Tank Gauging I 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: A 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? 7 e> ® Yes ❑ No' Was accuracy of system water level readings tested? ® Yes ❑ No` Were all probes reinstalled property? is Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. ENVIRON " _ .i Line Leak Detectors (LLD):PER,';';7 �^ CES ( 1 ❑ Check this box if LLDs are not installed. .; JJCi�Vt Complete the following checklist: ® Yes ❑ ❑ No' N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that Simulated leak rate ® 3 g.p.h.. ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. apply) ® Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? ® Yes ❑ No' Was the testing apparatus properly calibrated? ® Yes ❑ ❑ No. N/A For mechanical LLDs, does the LLD restrict product flow if it detects a leak? ❑ 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? ❑ 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? ❑ Yes ❑ ® No" N/A For electronic LLDs, have all accessible wiring connections been visually inspected? ® Yes ❑ No` Were all items on the equipment manufacturer's maintenance checklist completed? In Section H, below, describe how and when these deficiencies were or will be corrected. 3mments: 87 AND 91 -LEAK DECTECTORS FAILED. ELITE REPLACED AND TESTED TODAY. BOTH DSL PASSED Monitoring System Certification Page 3 of 4 2/21/07