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07/21/2003 16:54 1209365154 TANKNOLOGV • PAGE 09/16 <br /> Monitoring System Certification <br /> Site Address: 4943 S. KINGSLEY FRONTAGE RD) Date of Testing/Service: 07/18/2003 <br /> HWY 99 @ ARCH AIRPORT RD <br /> In-Tank Gauging / SIR 9quipment Check this box if tank gauging Is used only for Inventory control. <br /> ❑ 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 /> ccmr late the fellewiae checklist: <br /> a res E]No Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes nw. Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> Yn. F�No Was accuracy of system product level readings tested? <br /> mYee ❑No Was accuracy of system water level readings tested? <br /> M Yes []No Were all probes reinstalled property? <br /> El Yep I ONo Were all ftems on the equipment manufacturers'maintenance checklist completed? <br /> "In the Section H.below,describe hew and when these deficiencies were or will be corrected. <br /> Line Leak Detectors (LLD) . <br /> ❑ Check this box If LLDs are not installed. <br /> complete the following cheekliet: <br /> For equipment start-up or annual equipment certification,was a leak simulated to Verify LLD performance? <br /> ❑x yes �No iEl"/A, <br /> (Check all that apply)Simulated leak rate: Q 3 g.p.h©0.1 g.p.h ❑0.2 g.p.h <br /> M res ❑NoWere all LLDs confirmed operational and accurate within regulatory requirements? <br /> M Yes r7Nowas the tesfing apparatus properly calibrated? <br /> ❑Yes [_]Vo For mechanical LLDs,does the LLD restrict product Now if it detects a leak? <br /> Ex Yes LIN. For electronicLLDs,does the turbine automatically shut off If the LLD detects a leak? <br /> Q Yes [3NO E]N/A For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system Is disabled or disconnected? <br /> x❑Yes DN. ❑N/A For electronic LLDs,does the turbine automatically shut off if any porton of the monitoring system malfunctions or falls a test? <br /> ❑Ne F-1N/A For electronic LLDs,have all accessible wiring oonnWions been visually Inspected? <br /> xD Ys: <br /> a Yce ❑No were all items on the equipment manufaoturers'mainlenance checklist completed? <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> page 3 of 3 <br />