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Oct 17 12 08:36a Elite IV Contactors 12094616342 p.4 <br />-T <br />F.. In-Tank Gauging /SIR Equipment. Check this <br />box iftank pat ing..Isusedonly <br />far inventory control. <br />Check ftbox ifnotan<: Ijgiq or sliq equipment is Installed. <br />This section must be completed If hi-t;' I . . .. <br />tank 9�%Uft equipment Is-Used to 0orform leak detection mohil6t <br />Coln ete the folloWl checklist: <br />❑ Yes <br />o No* ­Has aII <br />input wiring been inspected for proper-entryand termination, <br />C3 Yes 'I : . . HalMugforgroundtaults7 <br />Were all tapkga :11: probes itmNi3i vigil i, �:i 111,, <br />r* ga <br />iPeCL-d _for-damge and., 131 6 <br />0 Yes ungto' groonc, faults? <br />U NO" -Was aCx=Wacy of I <br />.; 1:1111 C , 11:11 1 1 1: 1 iFs tested? <br />0 Yes sted? <br />LJ Yes Was accuracy of s ;i�;;z!-1­M1wdd1rpgs1emedy <br />W afl;P1Dbes rel ailed proper�? -------------- <br />0, Yes {7 ", Were atf$®nns on the egtiipment <br />maintenanca chaddiat c 01 feted? <br />? <br />-In Um Sectfpn-lij.4elow; describe h owland-wh6h ;=2:q2c!dj?cJ6s <br />7=!v oewill-beoml-ted. <br />G. Line Leak DetedtO1rS'(LLD)f <br />Check INS box if UDs are <br />not in'sta re <br />Com Idta th -followin ch66kjljt,'- <br />❑ -es ...... <br />Yes No For equipment stan-up or annual e <br />"Mentc <br />❑ certification, was'a lbak.skm, La VU111Y LLL} PefTorrnarjee? (Chea* WA Z�� Simulafedl Pate:: t7 leak g.p❑a# <br />P NO' I. WEF:::111"t 11 zi irlingih! .... .. ..... <br />tai <br />ory r6quintly .1 <br />Ll No, Was the festan apparam Pro <br />perlycallbrated? <br />❑ yes.. 0. No Form s, does the L restrict oductilow— <br />Ti NfA' <br />jf. ft.detdcm a leak <br />t] Yes 0.. No!' For electronic LLDS, doesthe.. <br />DlMap—aucaly. shutott if the LLD To-lic <br />0 NIA <br />Cr. Yes Ej, No* -For electronic j;;-S turbine automatically-shut <br />L <br />Pr <br />L on <br />Once.? <br />system <br />Is Cosabl <br />r <br />M, rna�n _U.r_ <br />leak? <br />.0 N/A disconnected?. em <br />r"Inng. ftabled'dr <br />Yes •a- No' Fcw LI.Ds,-doos-the, turbine <br />monitoring s <br />q NA f�n cRy shut Off if POMOn 3f G <br />IV system malfunctions or-' <br />0 yes 13 N <br />�or electronic ��,Ds ir'r­ ? <br />have �a <br />11 accessible wiring �conrnejtlosb= �W-lly im <br />A ISTE 60 <br />-NO* Were . <br />IT 'Yes .... .. (1111 i; r 1 13 i i I manuta <br />Met S mainfenance,chemist rorn; le 417. <br />-*In. . the Section ff, below, describe how and when these d6fidencies were or will' be corrected. <br />2/21/07 <br />