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06/15/2004 11:45 120936543 TANKNOLOGY PAGE 10 <br />411 <br />Monitoring System Certification <br />Site Address: 755 S. TRACY BLVD Date of Testing service: 03/24/2004 <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 gauging equipment Is used to perform leak detection monitoring. <br />Complete the following checklist: <br />M Yes <br />❑No ^ <br />Has all input wiring been inspected for proper entry and termination, Including testing for ground faults? <br />M Yes <br />❑No ^ <br />Were all tank gauging probes visually Inspected for damage and residue buildup? <br />0 <br />❑ No " <br />Was accuracy of system product level readings tested? <br />E❑No <br />^ <br />Was accuracy of system water level readings tested? <br />X <br />I <br />®No ^ <br />Were all probes reinstalled properly? <br />®Yea ON. • <br />❑No ^ <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />" In the Section H, below, describe how and when these deficlencle9 were or will De correcmo. <br />G. Line Leak Detectors (LLD) : ® Check this box if LLDs are not Installed. <br />Cmmnlata thw fntrnwihd eheaklint- <br />® YesNo • <br />1 1:1(Check <br />NIA <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />all that apply) Simulated leak rate; M 3 g.p.h ® 0.1 g.p.h E]0.2 g.p.h <br />X Yes ❑ No • <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />x Yes F-�No" <br />Was the testing apparatus properly calibrated? <br />D Yes Q No ^ <br />Q NIA <br />For mechanical LLDs, does the LLD restrict product flow if It detects a leak? <br />El Yes ❑No " <br />❑ NIA <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />®Yea ON. • <br />❑ NIA <br />For electronic LLDs, does the turbine automatically shut off If any portion of the monitoring system Is disabled or disconnected? <br />® Yes ❑No • <br />❑ NIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />® Yes ❑No • <br />❑ N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />M Yes ONO " <br />Were all items on the equipment manufacturers' maintenance checklist completed? <br />} In the Sactlon H, below, describe how and when these deficiencies were or will be Corrected. <br />H. COf11f11entS: <br />page 3 of 3 <br />