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DEC-26-2007 13:25 Service Station Systems 408 938 8888 P.04 <br /> ❑ Check this box if tank gauging is used only for inventory control. <br /> F. In Tank Gauging/St Equipment: <br /> O 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 lealc detection monitoring. <br /> Co ete the foil awin checklist: <br /> F-Ttv <br /> Ap Nos Has all input wiring been inspected for proper entry and termination,including testing for'ground faults? <br /> Qf Y Q Nos Were all tank gauging probes visually inspected for damage and residue buildup? <br /> es 0 No* Was accuracy of system product level readings tested? <br /> Eff Y69, ❑ No* Was accuracy of system water level readings tested? <br /> es ❑ No* I Were all probes reinstalled properly? <br /> yes ❑ No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors(LLD): Q check this box if L1,Vscnot installed, <br /> Com lets t followin checklist: G <br /> Cl Yes ® * For equipment start-up or Annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A Check all that apply) Simulated leak rate: U 3 g.p.h.; C!0.1 g-p.h; ❑02 g.p.h. <br /> O Yes ❑ No* Were a LDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes' ❑ Nos Was the testi apparatus properly calibrated? <br /> Q yes ❑ No* For mechanical Ds,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> 0 Yes C1 No* For electronic LLDs, s the turbine automatically shut off if the LLD detects a Ieak? <br /> 0 N/A <br /> O Yes 0 No* For electronic LLDs,does turbine automatically shut off if any portion of the monitoring system is disabled <br /> Q N/A or disconnected? <br /> 0 yes Q Nos For electronic LLDs, docs the ine automatically shut off if any portion of the monitoring system <br /> ❑ N/A malfunctions or fails a test? <br /> ❑ yes ❑ No* For electronic LLAs,have all accessible g connections been visually inspected? <br /> ® N/A <br /> 0 Yes Q Nos Were ail items on the equipment manufacturer's tenanee Checklist completed? <br /> *In the Section H,below,describe how and when these deficiencies wer or will be corrected. <br /> H. Comments' <br /> Page 3 of 3 03101 <br />