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12/23/2008 12:27 FAX 8257722 MANTECA SHELL Z002 <br /> Monitoring System Certification �P®C <br /> F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or STR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Com tete the following checklist: <br /> El Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> C87 Yes ❑ No" Were all tank gauging probes visually inspected for damage and residue buildup? <br /> M Yes ❑ No* Was accuracy of system product level readings tested? <br /> M Yes ❑ No* Was accuracy of system water level readings tested? <br /> D Yes ❑ No* Were all probes reinstalled properly? <br /> 21 Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section 13,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> :":?C9om Rhed'oH robec4liat: <br /> ,....ISI Yes -❑ _No*. ,For equipment atarf.up,or..armual,cilWpment corxification,.was.aJeak,AimWatcd to vurify.LLD�,p fzmance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: m 3 g.p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. <br /> ❑ Yes ® No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ® Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak7 <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® N/A <br /> ❑ Yes ❑ No* For electronic LLD% does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ® N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> 11 N/A malfunctions or fails a test? <br /> ❑ Yes ❑ Nos For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® N/A <br /> ® Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: 87 LLD failed the 3 :loh®10 psi leak-test, I replaced the LLD and the w LLD passed the <br /> IeSL <br /> UN-036-3/4 - Page 3 of 4 Rcr.06/04101 <br /> www.unidocr.org <br />