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OCT-01-2008 01 :49 PM GETTLER-RYAN INC. 925 551 4770 P. 04 <br /> AOL <br /> 0 <br /> Monitoring System Certification <br /> F. In-Tank Gauging/SIR Equipment: 0 Check this box if tank gauging is tuned only for inventory control, <br /> Z Check this box if'no tank gauging or SIR equipment.is installed. <br /> This section must be completed if in.-tank gauging equipi-ncnt is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> 0 Yet; 0 No* Has all input wiring been inspected for proper entry and termination.including testing for ground faults'? <br /> 0 Yes 0 No* Were all tank gauging probes visually inspected far damage and residue buildup'? <br /> M Yes 0 No* Was accuracy of system product level readings tested'' <br /> Cj Yes 0 No* Was accuracy of system water level readinp! tested? <br /> 0 Yes 0 No* Were fill probes reinSijilled properly'! <br /> ❑ Yes 0 No" Were all items on the equipment manufacturer's maintenance checklist completed'? <br /> In the Section H,below,describe how and when these deficiencies were or will lie corrected, <br /> G. Line Leak Detectors (LLD)- Ll Check this box iflADsare not installed. <br /> Co lett the feHowing_cbecklist: <br /> 0 Yes Ej NO For equipment start-up or annual equipment certification. was a leak simulated to verify 1-1,T) performance? <br /> Z N/A (Check all that ajq.;y) Simulated leak rate: 0 3 g.p.h.. 0 0.1 g.p.h; 0 0.2 g.p.h. <br /> 0 Yes 0 No* Were all LU)s confirmed operational and accurate within regulatory requirements'? <br /> 0 Yes 0 Na* Wits the testing apparatus properly calibrated? <br /> 0 Yes 0 No" For mechanical L1,13s.does the LLD restrict product flow it-'it detects a leak? <br /> 0 N/A <br /> ❑ Yes n No* For electronic LLD;.does the turbine automaticallyshut off i77h _e1.17Ddetects a leak' <br /> 0 N/A <br /> 0 Yes 0 No* For electronic 1.1,Ds, does the turbine automatically shut ctrl'if any portion of the monitoring system is disabled <br /> Ej NIA or disconnected'? <br /> 0 Yes [] NO For electronic [J.Ds, does the turbine automatically shut off it'any portion of the monitoring system malfunctions <br /> D N/A or fails a test" <br /> 9 Yes 0 No* For electronic 11Ds,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> z Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when theme deficiencies were or will he corrected. <br /> H. Comments: -Oaly-the-Lg-fa-sur4psonsor-was-t"ted--P-"Rive shutdown-of.atLiurbkws,.wwo-cGr&4ned-dw4no4ost-- <br /> Page 3 t)f 3 <br />