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Work Order: 2255578 <br />F. In d;sssgiag i Sits, i!aICipmemi: (7ttck Ibis box it WIL- {ueging is uscxi nniv 1'or irveniwj cantm':- <br />lJ Cbav:k this box if s!o tank gaugatg or Slit trlufpm— is utswiied <br />This section muss be completed if in -tank gauging equipment is used to perform teak detection monitoring, <br />Com ete the foHawla aitccldi; <br />U Yes <br />u vo' <br />I rias all mina wiring beat iespetted Tor prnper entry and termination, laclac1mg testing forI,TOaad fswlta7 <br />0 Yes <br />❑ No" <br />Were all tank gwging probes visually inspected for damaged residue anbuildup? <br />U Yes <br />O No, <br />Was aaell Loy of system produdl Ievel readings k!ded? <br />❑ Yes <br />❑ No* <br />Was accumLY of system water levet readings tested? <br />Lt Yes <br />g NO' <br />Wcm all probes reinstalled properly? <br />❑ Yes ❑ Nn* Were all items on the equlpmeat manufacturce# maimenance checklist completed? <br />G. Line Leak Detection (LLD): t3 Check this boa irLl Da are not iost�icrt <br />Coal <br />to the <br />checklisk <br />A Yes <br />❑ We <br />For equlpmaat stmt -up ar —usl equipment certification, was a leak simulated to verity LLD performarsce? <br />❑ NIA <br />(Vhe1A all thea q-P1y) Siaailste d leak rate: 16 3 g.p.h.; ❑ 0.1 g p is ; 0 01 g pJL <br />Yes <br />t:i No* <br />Weis all LLDs emflMied operational and a within re s <br />gulafmy requirements. <br />0 Yes <br />4 No* <br />Was the testing appy properly calilxated7 <br />O Yes <br />IV <br />13 No* <br />For modunicul LLDg, dem flats LLD r edriet produet now if it detects a leak? <br />5- NIA <br />Yes <br />I ❑ No* <br />For al Bic LLDs, dog Se Wrbi- RUWmadcaPy sfaa off if Me LID detects a leak? <br />u® Yes u rw- ror etocnonm LLD% lees elm tu:bioe autonialieally shut Off if any portion of the tnoodtoriog system is disabled <br />Cl NIA or discomiecteo <br />0 Yes ❑ No' Far need=le LLDs, dtxs the leabine ily sbsd off, if say potion of the muaitarin <br />❑ NIA or >�la a test? g <br />Yes 0 No' For electronic Ll Dr, baye all accessible wining comiCaUorLs been visually Inspeeh:d? <br />Q NIA <br />lil Yes Cl No* Were all items as the equipment mattufaammes maintenance cheddist ctimpheted? <br />° to the Section Q, below, describe haw sul wbeo umn dencteaeks Waris or will be convete& <br />H. Comments: <br />Page 3 of3 <br />IM <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />