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Parkwood Gas& Food 2 98888157 p.6 <br /> In-Tank Gauging I SIR Equipment: ® Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box ill tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ® Yes ❑ No- Has all input wiring been inspected for proper entry and termination,Including testing for ground faults? <br /> ® Yes ❑ No- Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ® Yes ❑ No' Was accuracy of system product level readings tested? ,r <br /> ® Yes ❑ No" Was accuracy of system water level readings tested? <br /> ® Yes ❑ No" Were all probes reinstalled property? <br /> ® Yes ❑ No" Were all items on the equipment manufacurers maintenance checklist completed? <br /> 'In Section H,below,describe how and when these deficiencies were or will be corrected. P <br /> Line Leak Detectors(LLOj: ❑ Check this box if LLDs are not installed. X11 i t <br /> Complete the following checklist: 4° <br /> ® Yes ❑ No' For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br /> ❑ N/A Simulated leak rate: ®3 g.p.h.; [10.1 g.p.h; ❑0.2 g.p.h. <br /> ® Yes ❑ No' Were all LLDs confirmed operational and accura.e within regulatory requirements? <br /> ® Yes ❑ No' Was the testing apparatus properly calibrated? <br /> ® Yes ❑ No' For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> ❑ Yes Cl No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ® NIA <br /> ❑ Yes ❑ No' For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> ® NIA <br /> ❑ Yes ❑ No, For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> ® NIA <br /> s ❑ No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® NIA <br /> ® Yes ❑ No' Were all items on the equipment manufacturers maintenance checklist completed? <br /> In Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. comments: 87 LD FAILED NEEDS REPLACED 91 PASSED . COULD NOT TEST 89 L.D -NO FUEL IN TANK <br /> - _ --�-- Page 3 of 4 Z/21/07 <br /> Received TimeReJu-l, 25. 2018 10 :46AM No. 3918 <br />