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FROM :B.Z.SERVICESTATION MAIN aNCE FAX NO. :916 371 2540 Aug. 07 2006 03:21PM P4 <br /> ti <br /> F. To-Tank Gauging/SIR Equipment: 11-6beck 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 /> Comlets the followin checklist: <br /> es C3 <br /> es <br /> Has all input wiring been inspected for propor entry and termination, Including testing for ground faults? <br /> es ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> as ❑ No* Was accuracy of system product level readings tested? <br /> Yes ❑ No* Was accuracy of system water level readings tested? <br /> es ❑ No* Were all probes reinstalled properly'? <br /> es ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> •In the Section II,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if I LDS are not installed. <br /> Com lets the following checklist: <br /> es ❑ No For equipment start-up or annual equipment certification,iwas ahleak simulated to verity LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate:.�J g.p, g•p• S.p • <br /> os ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> es ❑ No* Was the testing apparatus properly calibrated? <br /> )SfYes ❑ No* For mechanical LI-Ds,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> LLA detects a lock? <br /> Q Yes QVol For electronic LLDs,doe the turbine automatically shut ofi'if the <br /> MIIN/A <br /> Q Yes Q No* For electronic i.LDs, does die turbine automatically shut off if ally portion of the monitoring system is disabled <br /> /A or disconnected? <br /> Q Yes ❑ Ido* For electronic LLDs, does the turbine automatically shut off if any portion of die monitoring system malfunctions <br /> N/A or fails a test? <br /> ❑ Yes Q No* Fur electronic[,LDs, have all accessible wiring connections been visually inspected? <br /> N/A <br /> os Q No* Wore all items on the equipment manufacturer's maintenance checklist completed? <br /> " In the Section Il,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments' — <br /> �� Page 3 of 3 03/01 <br />