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04/27/2005 09:40 805-65 069 TANK TEAM INC PAGE 04 <br />F. In -Tanks Gauging / SIR Equipment: <br />V 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 teak detection monitoring, <br />Com lets the toll owin checklist: <br />E3YCI No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />❑ No* Were all tank gauging probes visually inspected for damage and residue Buildup? <br />❑ No* Was accuracy of system product level readings tested? <br />❑ No* Was accuracy of system water level readings tested? <br />❑ No* Were all probes reinstalled properly? <br />❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section U, below, describe how and when these deficlencies were or will be corrected. <br />G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. <br />❑ Yes <br />CI No* <br />For equipment start-up or. annual equipment certification, was a leak simulated to verily 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 />0 No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />❑ Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if Che L1 D detects a leak? <br />O N/A <br />❑ Yes <br />❑ No* <br />For 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 LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />U N/A <br />or fails a test? <br />❑ Yes <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />0 N/A <br />❑ Yes <br />❑ No* <br />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 />ff. Comments: <br />Page 3 of 3 03101 <br />