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Feb 21 03 1O: 51a TRIT Environmental System (916) 858-1011 p. 7 Sire Address: SS#0595,6100 N.HIGHWAY 99,STOCKTON Date ofTcstingiSenicing: —/ (0�03 F. In-Tank Gauging!SIR Equipment: ❑ Check this box if tank gauging is used only for inventorycontrol. Ft-etrM. this box if no tank gauging or SI 11 equipment is installed. This section must be completed if in-tank gauging equipment is used to perform, leak detection monitoring. Complete the folio ine 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? Cl Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* I Were all items on t1lte equipment manufacturer's 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 tlus box if LLDs are not insmlled. complete the folio ing checklist; ❑ 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 rate: ❑ 3 g.p.h.'; ❑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-up. ❑ Yes ❑ No* I Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* Was the tesxng apparatus properly calibrated? ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ❑ N/A ❑ Yes ❑ No* For electrcaic LLDs,does the turbine automatically shut off if the LLD detects a leak? ❑ N/A ❑ Yes ❑ NO For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled ❑ N/A or disconnected? ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system ntalfimcdons ❑ N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? ❑ N/A ❑ Yes 1 ❑ No* Were all items on the equipment manufacturer's maintenance checklist eempleted? *In the Section H,below,describe how and when these deficiencies were or will be corrected. H. Comments: Page 3 of 3 0310l