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IVi„.litoring System Certification Site Address: 1987 WEST 11 TH Date of Testing/Service: 09/08/2003 F. In -Tank Gauging / SIR Equipment x❑ 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: ❑ 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? E] Yes ❑No Was accuracy of system water level readings tested? Yes ❑No' Were all probes reinstalled properly? [—]Yes ❑ No Were all items on the equipment manufacturers' maintenance checklist completed? ' In the Section H, below, describe how and when these deficiencies were or will be corrected. G. Line Leak Detectors (LLD) : ❑ Check this box if LLDs are not installed. Complete the following checklist: ❑x Yes ❑ No' ❑ N/A For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) Simulated leak rate: x❑ 3 g.p.h ❑ 0.1 g.p.h ❑0.2 g.p.h x Yes ❑ No' Were all LLDs confirmed operational and accurate within regulatory requirements? x 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? ❑x 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 ❑X 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 QNo' Were all items on the equipment manufacturers' maintenance checklist completed? ' In the Section H, below, describe how and when these deficiencies were or will be corrected. H. Comments: REGULAR PLLD'S WILL NOT TRIP (a)3GPH, SYSTEM HAS ALOT OF AIR NEED TO LET THE STATION PURGE LINES AND DO A RE -TEST. page 3 of 3