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04-23-'12 10:56 FROM-West Star Envmt Inc. +559-277-0106 T-769 P0004/0006 F-311 <br /> F. In-Tank Gauging/SIR Equipment: yM Check this box if tank gauging is used only for inventory control- <br /> 0 Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform teak detection monitoring. <br /> Com fete the following checklist: <br /> n Yes -1 No' Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Ll Yes .J No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> U Yes 1 No' Was accuracy of system product level readings tested? <br /> 0 Yes 3 No' Was accuracy of system water level readings tested? <br /> o Yes 0 No' Were all probes reinstalled properly? <br /> n Yes "► No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In the Sectlon Ft,below,descrtbe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLE?): 7 Cheek this box if LLDs are not installed_ <br /> Complete the followingctleckitst: <br /> Yes -1 No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?(Check all <br /> 1 WA that apply) Simulated leak rate; >6 9.p.h.; -101 g.p.h; n 0.2 g.p_h_ <br /> Yes j No' Were all LLDs confirmed operational and accurate within regulatory requirements? I <br /> '%Ijk Yes '1 No' Was the testing apparatus properly calibrated? <br /> �R Yes -1 No` For mechanical LLDs,does the LLD restrict product flow it it detects a leak? <br /> I WA <br /> U Yes J NW For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> NIA <br /> U Yes _1 No' For electronic LLDs, does the turbine automatically shut off it any portion of the monitoring system is disabled or <br /> N/A disconnected? <br /> n Yes 1 No' For electronic LLDs,does the turbine automatically shut off If any portion of the monitoring system malfunctions or <br /> WA fails a test? <br /> 49 Yes J No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> ,lit Yes J No' Were all items an the equipment manufacturer's maintenance checWist completed? <br /> 'In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> monitoring$"tam Certification Page 3 of 4 12/07 <br /> 3 2/21/07 <br />