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10/10/2002 15:30 4089710135 SSS INC PAGE 04 <br /> Monitoring System Certification- ruge 3 of 3 <br /> Site Address: 6131 Pacific Ave.@ Porter Date of Testing/Servicing: 9124102 <br /> F. In-Tank Gauging/SIR Equipment: to Check this box if tank gauging is used only for inventory control. <br /> Q Check this box if no tank gauging or SLR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the foillo ing checklist: <br /> ❑Yes u No+ Has all input wiring been inspected for proper entry and tcrinination,including testing for ground faults? <br /> [I Yes ❑No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 Yes ❑Nu* Was accuracy of system product level readings tested'! <br /> ❑Yes ❑No* Was accuracy of system water level readings tested? <br /> o Ycs in Nv* Wcrc all probes reinstalled properly? <br /> ❑Yes ❑No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In Section II below,descri4c how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if LLD's are not installed. <br /> Complete the follo ing checklist: <br /> Yes a No* For equipment start-up or aauival equipuiCut certification was a leak simulated to verify LLD performance? <br /> ❑N/A (Check all that appl)) Simulated leak reate: a 3 g.p_h.(1.); 11 0.1 g.p.h.(2.); ❑ 0.2 g.p.h.(2.). <br /> Notes: 1. Required for equipment start=up certification and annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> a Yes ❑No* Were all LLD's confirmed operational and accurate within regulatoly requirements? <br /> z Ycs ❑Nom Was the testing apparatus properly calibrated? <br /> ❑Yes ❑No* For mechanical LLD's,does the LLD restrict product flow if it detects a leak? <br /> ®N/A <br /> ®Yes ❑No* For electronic LLD's,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑N/A <br /> ®Yes ❑No* For electronic LLD's,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑N/A or disconnected? <br /> ®Yes ❑No* For electronic LLD'e, does the turbino automatically shut off if aiiy}union of the monitoring system <br /> Cl N/A malfunctions or fails a test? <br /> ®Yes ❑No* For electronic LLD's,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ®Yes ❑No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In Section H below,describe how and when these deficiencies were or will be corrected. <br /> A. Comments• <br />