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07/21/2008 15:41 FAX (0008 <br /> Pv. In unLk C aij,I AT,"4; 9 R 1"qn,pa%! IJ Check ffift.,bo;- iftank p.:11111im-, o";y f.".1, im.Qlattv <br /> Chccl.lois.`,ox if no ulah 1,vm8itig or SIR L-quipment 1!; <br /> This section must.be completed if in-tante gauging eciLdpinent is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> Fru-Yes 13 No* Has all input wiring been inspected forproperentry and ternunation,including testing for ground faults? <br /> El Yes U No* Were all;;7ik gauging probes visually inspechul ffirdannage and residue buildup? <br /> El Yes 0 No* Was accuracy of system product level readings tested? <br /> CA Yes U Now Was accuracy ol'system water level readings tested'! <br /> ❑ Yes L3 Now Were all probes reinstalled properly? <br /> Li Yes 13 No* Were all items on the equipment manufacturer's maintenance checklist completed'? <br /> —z-- — — -.,--Ii <br /> * In the flection H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): U Check this hox if LLDs are not installed. <br /> Co tete the ratio ing checklist: <br /> 97y—O—ST 13 Now For equipment start-up or annual equipment certification, was a leak simulated to verify LIT) performance? <br /> e 0 N/A (Check all that apply) Simulated leak rate:,&3 g.p.h.; Q O'l g.p.h ; U 0,2 g.p.h. <br /> Ea'Yes Q No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 9/Yes 0 Now Was the testing apparatus properly calibrated? <br /> Yen El No* For mechanical T.T.Ds,does the 1.1,13 restrict product flow if it detects a leak? <br /> LJ N/A <br /> * Yes J Now For electronic LLDs,does the turbine automatically shut off if the 1,1,13,dewets a leak? <br /> P(N/A <br /> * Yes U Now For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> LI Yes Q Now For electronic IJ.T)s,does the turbine automatically shut off il'any portion ofthe monitoring system malfunctions <br /> N/A or fails a test? <br /> D Yes Q Now For electronic H.Ds,ba ve all accessible wiring connections been visually inspected? <br /> NAA <br /> Yes U No=,,,all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H, below,describe haw and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 osnn <br />