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Work Order: 2245417 <br />Pr'-PoringSystem Cortil-icalion <br />5ile Address: _ Date oF't'rtlingServitA <br />' �'• Ile-`ifle]k (:angina! Silt frrjuinette�it: heck Lhisbox iFtank l;atgi,agi9 useiJ (Poly fro- invcntpry"eoru <br />Cl Check this box if no tank gaugGoe- or SIR etluipmenL is instnile <br />This .%E;lign mttst he t:Qmpleted if• in-tallk lrougiug equipment is tiled to peerlbrm leak ddeclion Monilaaing- <br />Cvmplele the following rliccklist: <br />O Yes ❑ rle * Has all input wiring been inspmud for proper entry mid leam ination. including testing f ggMund— faults'? <br />a Yes a No, Vilest ali tank gauging jsrobrs visually inspected fordnmage aitEi residue I;uiltJup? <br />Ca Ycs 0 NO WAS accu�vy Dfaystem product leve l readings iesLed7 y <br />0 yel 0 ?do• WIAS nccutaey of aysl0m Water Iev6J readings tested9 <br />Yes Q ' NO, Were a1J probes reimlaiJcd prWerry? <br />Q Yes Q No* Were 7lr stents on th0 c+quiprn ent manuf 4urcr's mn tiotenenoe rlie-kPfst ou.n eteted? <br />" In the � 1thm H. below, describe how anti when iliac dnfjeleat:ies,mere tir will be car�Cird. <br />Q Line Lank Delcet,vrm (LLD): Ll Clpcuk Ihi9 box if LL17s fns nut iR9taiJ0S1. <br />Complate the fuliowfng iris citlist <br />Ye9 1i 1Wlu# For equipment start-ip ne &Molal cqu _t�C8rlilication, wain, a lank Aniulatod to verify LLD performatwx <br />0 N!A (Check af!-Fhai wary') Simulated r4qik rsWrq 3 g,�h.; D o.l g.p h : 0 0.2 g.ph. <br />Ysa U No« Were al? Ll.Qs COrnl`irmcd esperatinna! end accurate within neguJat,ory rmequirements7 <br />jZrYes U No* 'Was the testing appbtntus properly calibrated,+ <br />Ycs 0 No* I'm mechanical Ll.Ds. does the LLD rt±9erkt producl flow if it detects a OMk7 <br />0 NIA <br />0 Yea C1 * For alecimn is L LCDs. does 1110 hubins Automatically shut off if the Ll. D detects s Ir -air? <br />Jltt N A <br />® Yes ❑ Noo For electronic LLDs, does th to inc automatically shin oft if ony portion GF Me monitoring system is disabrcd <br />A cr disconnected? <br />0 Yrs 0 Na# rur erecEronic LLDS. dig Elbe turbine automatimiry shut off if any portion of the monitoring sratem <br />IA malrunctio,ns or fails u tr=act' <br />D Yes 4 • For elearai% LLDs., have NJ I accem4plu wiring c+urrner;tioo9 been visualiy nlspve cd7 <br />2rNIA <br />_Ycs Q No* We= all [isms on Use equipnieatt manufii rcr's maintenance ehecicfiat enrtmpdele�d7 <br />" Li the Sect!" H, bcfuw, d"cribc 108W cat! when Mew dencletivics v vre or will he errrreeteeL <br />H. CemmcriU: <br />Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 <br />