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05/07/2003 16:20 408971Q135 SSS INC PAGE 04 <br />Monitoring System Certification - Page 3 of 3 <br />Site .Address; 1330 E. Yosemite_ Highway 99 Date of Testing/Servicing: 419/03 <br />F, I,n - Tank Gauging / SIR Equipment, 0 Check this box if tank gauging is used only for inventory control. <br />M Cltcelc this Lux if ito tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />C amnlete the following checklist; <br />❑ Yes <br />* <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, ineiudmg testing for ground faults? <br />❑ Yes <br />0 No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ No* <br />Was accuracy of system product level readings tested'? <br />❑Yes <br />❑ NO <br />Was accuracy of system. water level readings tested? <br />0 Yes <br />❑ .No* <br />Were all probes reinstalled properly! <br />❑ Yes <br />0 No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />in section H below, aeserine now anu when mese aeac,eacacs WC1C ue "RAI uc ave,ea6eee, <br />G. Line Leaf Detectors (LLD): ® Check this box if LLD's are not installed. <br />VV+LC ■V61r <br />4++v s <br />®Yes <br />0 No" <br />For equipment start-up or annual equips icut ccrtificatiou was a leak sixaulatcd to verify LLD performance? <br />❑ N/A <br />(CFaeck all that apply) Simulated Leak reate: X 3 g.p.h. (1.); 0 0.1 g.p.h. (2.); 0 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 />❑ Yes <br />® No* <br />Were all LLD's confirmed operational and accurate within regulatory requirements? <br />1111 Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />0 Yes <br />0 No* <br />For mechanical LLD's, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />II Yes <br />❑ No* <br />For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? <br />0 N/A <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />0 Yes <br />❑ No* <br />a N/A <br />or disconnected? <br />Q Yep <br />a No* <br />For c1cu ,uniu LLD's, does the turbine automatically shut off if any portion of the monitoring system <br />0 NIA <br />malfunctions or fails a test? <br />0 Yes <br />❑ No* <br />For electronic LLD's, have all accessible wiring connections been visually inspected? <br />l9 N/A <br />® Yes <br />❑ No's <br />Were all iters on the equipment manufacturers maintenance checklist completed? <br />* In Section f1 below, describe how and when these dei'iciencies were or will be corrected. <br />FL Ct xamei ts. Pic i i leak detector bad. Replaced leak detector and all tested ok. <br />Prem vapor bucket leaks_ Diesel fall bucket has a crack. Reg fill and vapor. ok_ Prem fill bucket ok. Replaced diesel. <br />fill bucket and repaired premium vapor bucket. All tested ok <br />