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19255517888 Main Fax GETTLER RYAN INC 8:16 p.m. 02-01-2007 5/9 <br />4 <br />Y , <br />F. In -Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control. <br />❑ 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 leak detection monitoring. <br />El_,_._ .L.. 6..I1.....:..n n6anklic4• i/ ti y ._1'/� <br />❑ Yes <br />❑ No* <br />Has all input wiring been inspected for proper ent rmination, including testing for ground faults? <br />❑ Yes <br />❑ No* <br />Were all tank gauging probes visually ' ed for damage and residue buildup? <br />❑ Yes <br />❑ No* <br />Was accuracy of system pr9dvcf1evel readings tested? <br />❑ Yes <br />❑ No* <br />Was accuracy o em water level readings tested? <br />13 Yes <br />❑ No* <br />Were robes reinstalled properly? <br />EuyYI:SS <br />❑ <br />ere all items on the equipment manufacturer's maintenance checklist completed? <br />�_r__e___e__ ...ill i.e ._-d. A <br />;j ecviun 171, Ueivw, uwc ,vv uv- ..,,v ..............._ .. _.•-•-••.-•-.• .. _. _ __ .. ___ _ _ ___ _ _ ____- <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />.i_ r n.. ..B.e..triio!• <br />�..V m�s,cw ..... .,..... .. ..s <br />L3 Yes <br />❑ No* <br />------------ <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: ❑ 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />❑ Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requireme . <br />® Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />13 Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flo etects a leak? <br />13N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine matically shut off if the LLD detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLD s the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconne <br />❑ Yes <br />❑ No* <br />For onie LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />functions or fails a test? <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Lik <br />❑ <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />s <br />No* <br />i ____e,.. �.,........A ...i.en •7.ven AnCninnnic.e wPMA AP will hp 141rrerted_ <br />.) - in zne arcuuli aa, uv,v,., .....,.........•.... -..- ..-____ ______ _____________ _-. <br />H. Comments: <br />Page 3 of 3 03/01 <br />