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MONITORING SYSTEM CERTIFICA lb 13 2017 <br /> CERTIFICATION / TEST DATE: April 12, 2017 <br /> Al. FACILITY A2. OWNER <br /> Name Colonial Energy#40138 Name Colonial Energy, LLd)EPARTMENT <br /> Address 14000 E.Hwy.88, Lockeford,CA 95237 Address 2860 N.Santiago Blvd.2nd Floor,Orange,CA 92867 <br /> Phone# 916-285-7402 Phone# 714-761-5426 <br /> Contact Station Manager Contact Victor Hassan <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 SIR equipment is installed. <br /> This section must be completed if in-tank gaugung equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No• Has all input wiring been inspected for proper entry and termination,including testing for ground faults? _ <br /> ❑ Yes ❑ No' Were all tank gauging probes visually Inspected for damage and residue buildup? <br /> ❑ Yes ❑ No' Was accuracy of system product level readings tested? _ <br /> ❑ Yes ❑ No• Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No-* Were all probes reinstalled properly? <br /> ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H 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 /> Complete the following checklist: <br /> ■ Yes ❑ No. For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> ❑ NIA (check all that apply) Simulated leak rate: ■ 3g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. <br /> ■ Yes ❑ No* Were all LLD*confirmed operational and accurate within regulatory requirements? <br /> ■ Yes ❑ No a Was the testing apparatus property calibrated? <br /> ■ Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow If it detects a leak? <br /> ❑ WA <br /> ❑ Yes ❑ No• For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ■ WA <br /> ❑ Yes ❑ No. For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ■ WA or disconnected? <br /> ❑ Yes ❑ No• Forelectronic LLDs,does the turbine automatically shutoff if any portion of the monitoring system malfunctions <br /> ■ WA or fails a Last? <br /> ❑ Yes ❑ No' 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 Section H below,describe how and when these deficiencies were or will be corrected. <br /> H. COMMENTS <br /> 0 2017 Walton Engineering,Inc. <br /> Page 3 of 3 <br />