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Oct 22 03 O1:32p RL TAR/WESTSTRR 155 277-0106 p.4 <br />F. n- ' ' Gan g / SiR rtrzzpmes� Cnca this box if tank gaugingis used only for iuventary ca=o . <br />❑ Check this box if uo tank gauging or Sit equipment is installed. <br />This sect;on'mi:st be ccmpleted if in-tank.,3 ag equipment is used to perform leak deter men rnonitorin- . <br />Co fete the following checkUs' t: <br />`des O 'No*Inas all input wiring been inspected for prover entry and teunination, including testing for gerund faults? <br />Jz� Yes Cl No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes Q INo*_j Was accuracy of system product level reacungs tested? <br />)21 Yes ❑ No* Was accarac/ of system water level readings tested? <br />Yes ❑ No* Were all probes reinstalled properly?. <br />Yes 12 No* were all items on the eT4 m=t===iacturer's cbccklist completed? <br />* In the Section H, below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): Check this box ifLLDs are not installed. <br />Coenulete the following checklist: <br />'z Yes ❑ No* For equipment start-up or annual equipment cm-ti£cation, was a leak simulated to verify =pexfarmauce: <br />❑ N/A I (Check all than apply) Sued leak rate: &3 g.p.h; ❑ 0. I g p,h ; 0 0.2 g_p.b.. <br />1)21 Yes <br />1 ❑ No* <br />Were all LLDs coned operational and accurate within regulatory requirements? <br />Yes <br />0 No* <br />Was the testing aomaratus properly calibrated? <br />"0 Yes <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />- t <br />O Yes <br />I ❑ No <br />N/A <br />For elcaaft= is LLDs, does the turbine auwmatically shun off if the LID -detects a leak? <br />1 <br />® Yes <br />❑ No* <br />X N/A <br />For electronic LI -Ds, does the turbine automatically shut ori' if any portion of the monitoring system is disabled <br />or disconnected.? <br />❑ Yes <br />El No* <br />N/A <br />For electronic LLI)s, d®a the turbine =omatically shut o$ if any portion of the monitoring system malfimctions <br />or fails a test? <br />❑ Yes <br />O No* <br />4 N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />I <br />�( Yes <br />© No* I <br />Were all item on the equipment manufactnrer's maintenance cbecldist completed? <br />* In the Section H, below, describe how and when these deficiencies were or ws7l be corrected. <br />H. Comments: <br />Page 3 of 3 WAX <br />