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Monitoring System Certification <br /> Site Address: 2448 W KETTLEMAN LN Date of Testing/Service: 09/12/2003 <br /> @ LOWER SACRAMENTO RD <br /> F. In-Tank Gauging / SIR Equipment [R] <br /> 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 gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ❑x 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 /> El Yes ❑No Was accuracy of system product level readings tested? <br /> ❑Yes 71 No Was accuracy of system water level readings tested? <br /> x Yes 7 No' Were all probes reinstalled properly? <br /> 0 Yes ❑No• Vvere all items on the equipment manufacturers'maintenance cnecklist completed? <br /> ` In the 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 /> For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance? <br /> Yes ❑No ❑N/A (Check all that aPPIY)Simulated leak rate: x 3 9�P•h ❑0.1 9•P•h 0.2 9�P�h <br /> x Yes ❑No• Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 7 Yes E]No Was the testing apparatus properly calibrated? <br /> Fx Yes ❑No ❑N/A For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑Yes ❑No Q N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑Yes ❑No' 7 N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ❑Yes ❑No ❑x N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ❑Yes ❑No• FT]N/A For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> L'J Yes ❑No• Were all items on the equipment manufacturers'maintenance checklist completed? <br /> ` In the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> page 3 of 3 <br />