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-ite Address: 6313: 1 100 S MAIN STREET, NTECA,CA 9533? Date . ,sting�Senricing: Z/124 <br /> 5--�� <br /> In-Tank Gauging l Sgt Equipment: y'gheck this box if tank gauging is used only for inventory control. <br /> 0 Check this box if no tank gauging or SIR equipment is installed. <br /> Phis section must be completed if in-tank gauging equipment is used to perform leak detection monitoring, <br /> nom lets the following checklist: <br /> :) Yes Q No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes 15 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes No* Was accuracy of system product level readings tested? <br /> Yes (w] No* Was accuracy of system wateilevel readings tested? <br /> M Yes No* I Were all probes reinstalled properly? <br /> Q Yes No*..i Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describe how awd when these deficiencies were or will be corrected. <br /> F.0 <br /> G. Line Leak Detectors (LLD): p_ Check this box if LLDs are not installed. <br /> Cam the folio ' checklist: <br /> gr?es No* For equipment start-up or►annual equipment c catior-4 was a leak simulated to verify LLD performance? <br /> NIA (Check all that apply);Sim(slated leak rate: 1; tff 0.1 g_p.h?; [j 0.2 g.p.h 2 <br /> Notes: 1. Required f6r.equipment start up certification and arulual certification. <br /> 2. Unless mandated by local agency, certification required only for electronic LLD startup. <br /> e 7 No* Were all LLDs confirmed ogtra6onal and accurate within regulatory requirements? <br /> e Id No* Was the testing apparatus properly calibrated? <br /> 13"Y No* For mechanical LLDs,does the LLD restrict product flow ifitdetects aleak'? <br /> b NIA <br /> Yes Q For electronic LLDs, does the turbine automatically shut off if the LL.D detects a leak'. <br /> Oil/A <br /> [� Yes 0 No* For electronic LLDo, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> !A or disconnected? <br /> Q 'Yes Q * or electronic LLDs, does the turbine_automatically shut off if ar_y portion of the monitoring system malfunctions N <br /> !A or fails a test? <br /> p Yes T N * For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> !A f <br /> Yes Q No* i Were allitems onthe equiptrientmanufacturer'smaintenence checklist completed? <br /> *In the Section H,below,descrle how axd wken these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03A1 <br />