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Work Order: 2243450 <br /> Site Address: It,y'fo CambriA pL-af ht-T "A.-Date of'f•estin�Servicing:.5 /I� /OZo <br /> .• F. In-Tank Gauging/SIR Equipment: heck this Fx,x if tank gouging is used only for inventory control. <br /> U Check this box if no tank gauging or SIR equipment ie 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 /> O Yea O No* Has,all input wiring been inspected For proper entry and termination,including testing for ground faults? <br /> O yes O No• Wercall tank gauging probes visually inspected for damage and residue buildup? <br /> O Yes O No* Was otxutacy of systen,product level readings tested? <br /> O Yea O NO' Was accuracy ofsystem water level readings tested? <br /> O Yes O Now Were al l p,bes reinstalled properly? <br /> O Yes O Nom Were all items on the equipment manufacturer's maintenance checklist compkued? <br /> •In the Section H,below,describe how and when these dencicneles were or wilt be corrected. <br /> G. Line Leak Detectors(LLD): O Check(his box it LLDs are not installed. <br /> Complete the ratio fins eheckliat: <br /> es O No* For equipment start-up or annual equipment certification,c�ertification, was a leak simulated to verify LLD performame? <br /> O N/A (Check a//that apply) Simulated leak rate:Ai s g.p.h; O O.I jI ; O 0.2 g-p.h. <br /> AT-y—es O NO Were all LL.Ds confirmed operational and accurate within regulatory requirements? <br /> Yes O No* Was the testing apparatus properly calibrated? <br /> yes —O—N.— For mechanical LLDs,does the LLD restrict product now if it detects a leak? <br /> O'N/A <br /> O Yea O No' For electronic LLDs,does the turbine automatically shut off if th<LLD delecty a Irak? 1. - <br /> JO(NIA <br /> O Yes OtNo* For electronic LLD9,does the turbine autumaticnl ly shut off if any portion of the monitoring system is disabled <br /> AtNtA ordiscomected7 <br /> O Yes Q No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> tYf N/A malfunctions or fails a test? <br /> O Yes O No* For electronic LLDs,have nil accessible wiring connections been visually inspected? <br /> N/A <br /> Yes O No* Were all items on the equipment manufacturer's maintenance checklist completed') <br /> •in the Section H,below,describe how and when these deficiencies weir or will be corrected. <br /> H. Comments' <br /> Tanknology-NDE 8900 Shoal Creek,Building 200 Austin,Texas 78757 <br />