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MONITYkING SYSTEM CERTINCATION
<br /> CERTIFICATION /TEST DATE: December 16, 2008
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<br /> A1. FACILITY A2. OWNER
<br /> Name Bonfare Market#35 Name Bonfare Markets, Inc. r
<br /> Address 15 W.Grant Line Road,Tracy,CA 95376 Address 461 S.Milpitas Blvd.,Suite 1,Milpitas,CA 95035
<br /> Phone# 209-833-9619 Phone# 408-933-4422
<br /> Contact Danny Arca ena Contact Sean Kapoor
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<br /> F. IN-TANK GAUGING/SIR EQUIPMENT: ■ Check this box if tank gauging is used only for inventory control.
<br /> ❑ Check this box if no tank gauging or SIR equipment is installed.
<br /> This section must be completed if in-tank gaugung equipment is used to perform leak detection monitoring.
<br /> Complete the following checklist:
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<br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults?
<br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup?
<br /> .' ❑ Yes ❑ No* Was accuracy of system product level readings tested?
<br /> El Yes ElNo* Was accuracy of system water level readings tested?
<br /> El ❑ No* Were all probes reinstalled properly?
<br /> ❑ Yes ❑
<br /> No* Were all items on the equipment manufacturer's maintenance checklist completed?
<br /> In Section H below,describe how and when these � y
<br /> * e deficiencies were or will be corrected.
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<br /> G. LINE LEAK DETECTORS (LLD): ❑ Check this box if LLDs are not installed.
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<br /> Complete the following checklist:
<br /> Yes ❑ No* For equipment start-up or annual equipment certification,was a leak simulated to verify LLD performance?
<br /> f ❑ N/A (check all that apply) Simulated leak rate: 0 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h.
<br /> A '15 ■ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements?
<br /> ■ Yes ❑ No* Was the testing apparatus properly calibrated?
<br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? ' k
<br /> ■ N/A
<br /> ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? r-
<br /> ❑ N/A
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<br /> s` ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled
<br /> ❑ N/A or disconnected?
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<br /> ■ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions it
<br /> s ❑ N/A or falls a test? al
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<br /> ■ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected?
<br /> .E ❑ N/A
<br /> ■ Yes ❑ No* Were all Mems on the equipment manufacturer's maintenance checklist completed �
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<br /> In Section H below,describe how and when these deficiencies were or will be corrected.
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<br /> H. COMMENTS
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<br /> ©2006 Walton Engineering,Inc.
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