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.��u�gtut ung :��ytetu l.ernitcauuU <br />..J <br />Factlity Name: _ Norms 76 <br />R In -Tank Gauging Equipment: <br />uaic ut iusung,oct01 <br />U Check this box if tank gauging is used only for inventory cotutol. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitonlig. <br />Software Version Installed: 01-11 <br />Com lets the folio Ing checklist: <br />® Yes <br />Yes <br />W Yes <br />❑ <br />❑ <br />❑ <br />No* <br />No* <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults'? <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Was accuracy of system product/waste level readings tested? <br />® Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />® Yes <br />❑ <br />No* <br />I Were all alarms activated and did they function properly? <br />® Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section <br />H, <br />below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): <br />Comnlete thr rnti—tno , t.e t.r. •. <br />❑ Check this box if LLDs are not installed. <br />0 <br />- - - – – --- -•-��� ..d... aeeaa sea evice C ur win oe corrected. <br />H. Comments: <br />CAUN1-01 Page age 3 06/2 1:99 <br />No* <br />Was a leak simulated to verify LLD performance? (Check all that applt� <br />Simulated leak rate: M 3 g.p.h.; ❑ 0.1 g.p.h.; ❑ 0.2 g.p.h. I <br />EMyes❑ <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />10 Yes <br />C3No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />M 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 />�1- N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />® N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring . system <br />malfunctions or fails a test? <br />U Yes <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />M Yes <br />❑ No* <br />if necessary to proper equipment operation, are fuel filters in good condition'? <br />❑ N/A <br />f <br />Were all items on the equipment manufacturer's maintenance checklist completed? ,i <br />Yes <br />❑ No* <br />* In the <br />Sectinn N <br />hotnw <br />- - - – – --- -•-��� ..d... aeeaa sea evice C ur win oe corrected. <br />H. Comments: <br />CAUN1-01 Page age 3 06/2 1:99 <br />