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04'/26/2004 14:23 4089718 SSS INC PAGE 06 %lonitoring Systetu Cel•tii9c11tion - Puke 3 of 3 Sit4 Address; 3725 N. Tracy Blvd. a 1_205 Date of Testiiig/scrvicill.g:_-3/31/04 ,.._ F, in-'.Fank Ganging / SIR Equipment: 9 Check this box if tank gauging is used only for inventory control. 17 Cbcck chis box if no tank gauging or SIR equipment is installed. '1"111s scctiolz must be completed ifin.-tank gauging equipment is uczad to perforin least detection rnon.itorin-R. f'umlileEce the following checklist: _.. _L Y4s ❑ No" Has all input. wiring been inspccted for proper entry and. termination, including testing far 5round faults"? ❑ Yes Cl 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 It Was accur7)ey of system water level readings tested? ❑ Yes ❑ No* Were a.11probes reinstalled properly? ❑ Yes ❑ No* Were all items on. the equipment manufacturer's maintenance checklist completed'? i11 `'L'cfoll Y'1 below, describe how and when these deficiencies were or will be corrected, C. .Litie leak Detectors ('LLD)-. ❑ Check this box ifLLD's are not installed Complete .0 Yes the foliowin 11No* ❑ N/A checklist: For equipment start-up or annual equipment certification was a leak simulated to verify LLD pertormance'? (Cheese all that apply) Simulated leak reate: ® 3 g.p.h, (1.); ❑ 0.1 g.p.h, (2,); ❑ 0.2 g.p.h. (2), Notes' 1. RMILlil"l R)l CCluil)1.11e71t Start-up certification and annual certification. 2, Unless.mandated by local a eney, certification. required only for electronic LLD start -u2. % Yes ❑ NO Were all L.LD's confirmed operational and accurate within rcgulato� requi.rements? Was the testing, apparatus properly calibrated? �. w Yes ❑ No's' ❑ Yes❑ No* For mechanical LLD's, does the LLD restrict product flow if it detects a leak'? M N/A 1'cs ❑ NO For electronic .LLD's, does the turbine automatically shit off if the LLD detects a leak'? _RM Yes ❑ NrA ❑ No" For electronic 111 -D's, sloes the tila-bine automatically shut oft if any portion of the monitoring systent is disabted � ❑ N/A or disconnected? For electronic LLD',,;, does the turbine automatically shut off if any portion of the molnitorin�3 system i Yes D No's 13 N/A malfunctions or Eels a test'? ® Yvb O Nu" Fol electronic LLD'-,, havc All aceessi.blc wiring eormections been visually inspected? ❑ N/A rid Yes 1 ❑ No" I Were all items oft. the equipment trtanu.factu er's maintenance checklist completed'? - * In Seclion 11 below, describe stow and when these deficiencies were or will be corrected, I.J. Cominents: