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ti <br />05/19/2008 16:19 2693651 TANKNOLOGY • PAGE 04 <br />E. Io -Tank Gauging / SIR Equipment: ❑ Check this box if tants gauging is used only for illvent�ry control. <br />❑ Check this box if no tank gauging or SIR equipmdnt i,� installed. <br />This section) must lie completed if in -tank gauging equipment is used to perform leak detection monito '.rig. <br />Complete the following checklist: <br />Q Yes <br />❑ No* <br />Has all input wiring beets inspected for proper entry and termination, including testing for ground faullts? <br />Q Yes <br />0 No* <br />Y/crc all tank gauging tobes visually inspected for damage and residue 'buildup? <br />Cl Yes <br />© No* <br />Was accuracy of system product levet readings tested? <br />❑ Yes <br />Ll No* <br />VJas accuracy of systerri. water level readings tested? <br />❑ Yes <br />❑ No* <br />V'erc all probes reinstalled properly? <br />Cl Yes <br />© No* <br />Vijere 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): Cl Check this box if LU)s are not installed, <br />Carr► lets the followin checklist: <br />Yos <br />G� No" <br />❑ N/A. <br />Fr,>r equipment startup or annual equipment certification, was a leak; simulated to verify LLD pefformance? <br />(Check- all that apply) Simulated icak rate; 1N g.p.h.; Cl 0.1 g.p.h ; Cl 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 />❑ N/A <br />For mechanical LLDs, does the LLD restrict product clow if it detects a leak? <br />❑ Yes <br />❑ No* <br />tk N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak'? <br />Q Yes <br />b No* <br />10 N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />or disconnected? <br />is disabled <br />❑ Yes <br />❑ No* <br />NIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system mz <br />or fails a test? <br />]functions <br />❑ Yes <br />13 No* <br />NIA <br />For electronic LLDs, havl all accessible wiring connections been visually inspected? <br />Ycs <br />* In the Section <br />No* <br />H, <br />Were all items on the eq "prnent manufacturer's maintenance checklist completed? <br />below. describia hnw and Ghon thi-tA rlpt;rinnriae i,.... --+.A <br />H. Comments: <br />Page 3 of 3 1 03/9T <br />