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SEP-03-2008 08:55 Service Station Systems 408 938 8888 P.06 Monitoring System Certification -P of 3 Site Address: 1804 West 11Th. Street @ Corral Mallow Date of Testiag/Servicing: 814108 F. In»Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. d 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 perforni leak detection monitoring. Com tete the folio ing checklist: ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and tenuination, includung testing for ground faults? ❑ Yes ❑ No's Were all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system product Ievel readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ Nos 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. G. Line Leak Detectors(LLD): p Check this box if LLD's are not installed. Com lete the folio ing checklist: M Yes ❑ No* For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? ❑ N/A (Check all that apply) Simulated leak reate:ix 3 g.p.h.(1.); 0 0.1 g.p.h. (2); ❑ 0.2 g.p.h.(2.). Notes: 1. Required for equipment start-up certification and annual certification. 2. Unless mandated by local agency, certification required only for electronic LLD start-Lip. lg Yes ❑ No* Were all LLD's confinned operational and accurate within regulatory requirements? (S Yes R No* Was the testing apparatus properly calibrated? ❑ Yes ❑ No's For mechanical LLD's,does the I.LD restrict product flow if it detects a Ieak? a N/A Yes ❑ No* For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? ❑ N/A *Yes ❑ No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? *Yes ❑ No* For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system Q N/A malfunctions or fails a test? *Yes ❑ No* For electronic LLD's, have all accessible wiring connections been visually inspected? 0 N/A OE Yes p 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. H. Comments: