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SEP-17-2007 10: 11 Service Station Systems 408 938 8888 P. 11 • Monitoring System Certilication-Pigt f3 glalo7 Site Address: 2448 W. Kettleman Ln. @ Lower Sacramento Date of Testing/Servicing: F. In - Tank Cauging/SIR Equipment: ❑ 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: 0 Yes 0 Nov 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? ❑ 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 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): I] Check this box if LLD's are not installed. ComUkfe the following checklist: es ❑ No* For equipment start-up or annual equipment certtion was a leak simulated to verify LLD performance? ❑ N/A (Check all Mal apply) Simulated Irak reale:P,' g.p.h. (1.); ❑ 0.I �.�.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. Yc, b No* Were all LLD's confirmed operational and accurate within regulatory requirements. e ❑ No* Was the testing apparatUIS properly calibrated? es [I No* For mechanical LLD's,does the I.i.D restrict product flow if it detects a]eak`? ❑ N/A ❑ Yes ❑ For electronic LLD's, docs the turbine automatically shut off if the LLD detects a leak? ar"N/A ❑ Yes ❑ For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled EKNIA or disconnected? ❑ Yes ❑ No*. For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system a-jl/�A malfunctions or fails a test? C3 Yes N9.% For electronic LLD's,have all accessible wiring connections been visually inspected'? /A es l7 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: l� � _/t TOTAL P. 11