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02-14-05 08:30sm From-TAIT ENVIROMENTAL 714-560-8237 T-764 P.03/06 F-670 <br /> Sitz Address: 4432; ib$HARDING W.4Y,ST'G.'CidN CA 95204 Date ofT,�aplServlcing 5-- <br /> F. In-Tank Gauging l SIR lquipm ent: � C'he ck*is b ox if tack gauging is us e d only for inve:Aoxy c or rol. <br /> Che.cktrisboxifnotankgeugmgorSIF ecuipmeatisirstalled. <br /> This section mus:be completed if in-tonic gauang equipment is used to perform leak detection M,=,Aoring. <br /> CaM leis the fe IRMO ing Checklists <br /> Yee No* H u all input wiring beta inspected for proper en•.sy and termination,including testing I'm mound faults? <br /> es No* Were 11 tank geugiugprobesvisu;L1yinspectsdfor damage and resi&aebuildup? <br /> Yes CI No* Was accuracy of systerr.product level readings:sated? <br /> Yes No* WU accuracyefsysttm WI!level readingsteated? <br /> Yes �} No* Were all probes reinstalled properly? - <br /> yss =the Equipramtmanufacturer's.raintenance checklist ecmpletad? <br /> In ON Stcdon H,below,describe kow and wlwx tkese deficiencies wan or wM be corcecled. <br /> Cr, Line Leak Detectors kILD): Che ckthis'boxifLLDs are not installed <br /> Cont the fo chackliOtl _ <br /> Eay <br /> NO" For egWpment. start-up or u=al equipmen�ieetior� was a leak simulated to verify UD perf=.L=ee? <br /> NIA (Chwk❑tPthatapply) Simulated leak rale; g p h.l; Q 0.1 g p h=; �0.Zg.p.h.2 <br /> Notes: 1. Requisedforequipmentstat't.upce:01cation�axmualcertification <br /> 2,Q Na* Were all l..LDs eonfuned operationa!and accurate wid iu refulatory requirements? <br /> Yes Q. No* Was the testing apparatus properly calibrated? _ <br /> Yes p No'A Formed:%uiea1L1.Ds, does the LLD resuinp±od=ftwifitdetects alow <br /> O. NIA <br /> EMY06,60 <br /> Q No" Far eleataoAiC L1.De,does the turbine automaticallyshat Offif the L.L,D detects aleak?ANo* For electraric LLD9, does the turbine aut.amatically shut o!f if any portior.of he monitoring system is disabled <br /> NIA or disconnected? <br /> Q No* For electronic LI.Ds, does the tuubinc automaivallyshut off ifnnyportion ofthe morutoiin�g systemmalfunotioneNIA orfails ateat?No* For elecuorucl.LDs,nave all accessible wising connections beenvisuallyinspectty <br /> NIA <br /> [J No* West alitems on the aquipmentmanufacturer's rr,einunance checklist completed? <br /> *In tke Section H,blow,describe how and when these deftienctes were or wit]be correeted, <br /> X. C omnteuts: <br /> C n'J-)�� T p I f I r. C�`4 f C <br /> G om' L J ",'F'V i.�• 4���J� - <br /> Page 3 of 3 <br />