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Parkwood Gas& Food 2 98888157 p.20 <br /> F. In-Tank Gauging/SIR Equipment ❑ Check this box if tank gauging is used only for invertory control. <br /> ❑ Check this box if no 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 /> W Yes ❑ No- Has all input wiring been inspected for proper entry and termination,including testing forground faults? <br /> ® Yes C7 No' Were all tank gauging probes visually inspected for damage and residue buildup? P. '4 1 . ,, <br /> ® Yes ❑ No' Was accuracy of system product level readings tested? <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 manufacturer's maintenance checklist completed? <br /> 'In Section H,below,describe how and when these deficiencies were or will be corrected. HEN—Tia € (tn Rx <br /> Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Corn tete the following checklist <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 accurate within regulatory requirements? <br /> ® Yes ❑ li 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 ❑ No° For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> NIA <br /> p 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 /> ® MIA <br /> ❑ Yes ❑ Mo' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ® NIA <br /> ® Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed? <br /> "-Section H,below,describe how andwhen these deficiencies were orwill be corrected. <br /> �. comments: 89 RED JACKET LD FAILED WILL NEED TO BE REPLACED—REPAIRS AND RETEST BY HMC <br /> °donitoring System Certification Page 3 of a 2121��7 <br /> Received Time Ju1. 25, 2018 10 :46AM No. 3918 <br />