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Mar.28. 2014 2:50PM Donlee Pump Co. <br />No. 6948 P. 6 <br />F- fn -Tarek Gauging / SIR Equipment, ❑ Check this box if tank gauging is used ortl <br />11 Check this box if no tank gnuoug or SIR Rt, EMW- E U <br />nis section must be completed if iu-tank gaup- equipment is used to perform leak detection monWd4.3 2 014 <br />Co Tete the following cheekl sL- <br />s d No* <br />Has all input wiring been iRsPected for proper entry and termination, including testing for <br />t ❑ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />D Yes ❑ No' <br />Was accuracy of system product level readings tested? <br />Yes ❑ No* <br />Wss acxuracy of system water level readings tested? <br />es Q No* <br />Wcre all probes reinstalledproperly? <br />Yes I ❑ No* <br />Were alt items on the equipment manufacturer's maintenance -checklist completed? <br />In the Section H, <br />below, descmbe hoar and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLD& are not it s ed. <br />t;o tete the foilowintr checiriist: <br />'Yes <br />q N'k <br />❑ N /A <br />For equipment start -LT or xtmnal ey'sipment certi�amtioa, was a leak si.;.ulated to .arilq LLD perfo;,�ance? <br />(Check all that apply) Simulated Ink tate: �g.p.h.; ❑ <br />0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Yes <br />❑ No's <br />Were all LLDs confirmed operational and accurate within regulatory reauirpments? <br />Yes <br />❑Not <br />Was the testing apparat'as properly calibrated? <br />Yes <br />❑ No* <br />I For mechanical LCDs, does the LLD restrict product flow if it detects a leak? <br />❑ NIA <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the tDrbine sutoutaticaLly shut off if the LL,p detects a leatc? <br />U N/A <br />C] Yes <br />Cl No' <br />Far electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />For electronic LL.Ds, does the turbine automatically shut off if any portion of the monitoring system <br />❑ N/A <br />malfttne ions or farts a test? <br />Q Yes <br />QNoy <br />For electronic IlDs, have all accessible wiring connections been visually inspected? <br />❑ NIA <br />es <br />❑ Aio� <br />Were $ll Items on ttie eam....nl niannfacturer s maintenance cireckltst cam toted? <br />In the Section A <br />below, describe bow and wheu these deficiencies were or will be corrected. <br />H. C��o��mtments: .V,,tA/v U <br />__�frr <br />�'1 l <br />