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Doc-17-2003 06:1Zam Prom-ARCO PR_DUCTS +7;4-670-3095 T-736 P.003/004 F-z 6: <br /> Site Addr,�ss: JS#6313, 1100 S.M&,it Street,Manteca Dau of Testing'Servici.rlg: <br /> F. In-Tank Gauging /SIR Equipment: Check this box if tang~gauging is used only for inventory ecarrol. <br /> ] Cheep:his box if no tank gauging.or S'_R equip~merT..i,insralled <br /> This section trust be completed if in-taint gauaiiig equipment is used to perform leak detention monitoring. <br /> COM=Dvlete the follo ine checklim <br /> Yes ❑ No* Has all input wiring pees.inspected fon proper entry and trrmiaat;on,includi1.S tesrhig:or greLad faut..y <br /> [� Yes p No* Were all tank gauging prcbe3 visually inspected for daruii;e and residue buildup? r <br /> "Yes C No* Was accuracy of system product leve:readings tested? <br /> i <br /> j.j Yes ❑ No' I Was accuracy of system water level readings tested? <br /> M Yes C No* Were all probes reinstalled properly'? _ <br /> Yep C No* Were all items on the equipment manufacturer's maintenaace check�ist comp?erud? <br /> *.In the,Section K below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD), C Check this box if LLDS are net installcd, <br /> Com tete the rollo ing checklist: <br /> ® `.'es 7 1:o- For equipment start-up or annual equipment oertificanan, was a leak simulated to verif i LLD 1,�rfo!--raancc? ' <br /> ❑ 'N/A (Chack all that applv� Sirnulated leak rate: 23 g.p.h. 0.1 e,p.h'; ❑ O:y g.p.h,' <br /> Notes: 1. Required for cquipmorit start-up certification and annual eertificaton. <br /> 2, Unless mandated by local agency,Certification required only for electronic LLD start-up. _ jI <br /> Yes Q No* Were all LLDs c:onfrmed operational and accurate within regulawny rcauirenments'. <br /> es <br /> 2 YQ Ilio* Was the testing apparatus properly calibrated? <br /> j� Yes Q Noy` For mechanical LLDs, does the LLD restrict product flou- if it detects a leak,? <br /> Yes s Q No* For electronic LLDs,does the:turbine autornaurally shut cuff if the 7-LI) detects;a 'Leak? <br /> NIA _ <br /> yes j ❑ No* For eleezonic LLDs, does the turbine autorna*;tally shut off if a:iy portion of the monitoring systen.. is disabled <br /> lP N/A or disconnected? <br /> C] Yes ❑ No' For a:iectrorac LLDs,does the turbine automatically shut off if any ponior.of the moaitorira systa a.rnglfun.rtiyns <br /> MA or fails a test? _ <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible'Airing,conn.;.:tions been visually inspected? <br /> H NiA �---Yes [I❑ No* Were a l iterns on the equipment manufaetur=r's=Lnenancc eheo dist completed? — <br /> *in the Section H.below,describe how and when these deficiencies were or will be corrected. <br /> Yl. Comments: <br /> Page 3 of 3 03i01 <br />