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-- <br /> Site Address '%00. 1250 N WILSON WA KION CA 95202 Da estmg(5ervrcrng. <br /> F. L&-Tank Gau&g/SIR EquipmOnt. heck this box if tank gauging is used only for inventory control. <br /> Check this box if nc tank gauging or SIR equipment is installed. <br /> This sec ion must be completed if in-tank gaugng equipment is used to perform leak detection monitoring. <br /> Com lete the follow' checklist: <br /> Yas �, No* Has all input wiring been inspected for proper entryandtermination,inciudingtestingforgroundfaults? <br /> Yes No* Were alltank geugingprobes visually inspected for damage andresidue buildup? <br /> Yes i No* Wu so curacy of system product level to adings teste d? <br /> Yes No* Was accuracy of system water level readings tested? <br /> Yes No* Were 6probes reinstalled properly? <br /> as No* Were all items onthe equipmentmanufacturer's maintenance checklist completed? <br /> Inthe See H,below,descrIc how and when these deficiencies were orwillbe corrected. <br /> G. Line Leak Detectors (LLD): Check this box ifLLDs are not installed. <br /> Complete the follow checklist: _— <br /> No* For equipment start-up or annual equipment certification, was a leek simulated to verify LLD performance? <br /> NIA (Check all fhaf apply) Simulated leak rate: 3g.p.h.l: 00.1 g.p.h?; 0 0.2 g.p.h 2 <br /> Notes: 1. Required for equipment stert.upceriificationyl¢annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD star6up. <br /> Yes No* Were all LIDs confirmed operational and accurate within regulatory requirements? <br /> Yes Nn* Was the testing apparatus properly calibrated? <br /> s No* For mechanical LLD9,does the LLD restrict producttlowifitdetects aleek? <br /> N/A <br /> Yes No* For electronic ILDs, does the turbine automatically shut off if the LLD detects a leak.? <br /> NIA <br /> JR, Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is &sabled <br /> NIA or disconnected? <br /> 2 Yes Io* For electronic LLDs, does the turbine automaticaL'y shut off if any portion of the monitoring systemmelfunctions <br /> IA or faits&test? <br /> )� Yes No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> NIA <br /> s ( No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *Ixthe Section H,below,descrrbe how and when these deficiencies were or will be corrected. <br /> H. Comments: — <br /> - Page 3 of �3A3 <br />