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Wdrk. Order: 2237782 <br />--'°' <br />Site Address: 4��-i. tri t�cG i <br />. <br />IF. Tank Gaugirt� 1 S[� EqutPest cet�' Utes it's' S'ox if tank gauging is used only for inventory cantrol. <br />Gl Check this box if na t,'tstk g (aging or SIR equipmeat is installed. <br />This section must be completed if in -tank gaugtug equipment is used to perforin leak detection monitoring. <br />Cote tete the tolle ing cbecklutt c ren and tennination, including testing fttr ground faults( <br />O Yes Cl No' Has alt Input wiring been insQected far IN �e and residue buildup? <br />Erg Yes 0 No- Were tttl tank gsu ;ing Frobcs <br />visually inspected for cktmaa <br />O Yes ®Na' Vdas accura" of syseerrt product levcS rcaatu; i� tested? <br />O Yes • � Na' Was acct mcy of systcm water level readings tested? <br />Q Yes t7 No" Were a" probes reinstatied property? <br />13 Yes q tie Ware all items on the equipment manaracw,-ce,; ntainten8nce checklist completed2 <br />tet the Sectloee H, betuw, describe how pnd witett hoe dettciencles were or wilt be corrected. <br />G. Line Leak Detectors (LLD): ® Check this box if LLDS = not humlieci. <br />Co ets the followutg checckt l~ wes a teak sial tlated to verify LLD perforrnttrtce? <br />Yas ®Na• For equipment start-up or annuel equipment cert` atitm. <br />simuWcd leak rate: g•p.li : 13 0.1 g-p•b : Q 0.2 9 -P -h- <br />0 NIA (Check aff rhea apple) <br />.. __ , , e�.....a.,,,.wt nner9cianal mrd r<ccurate within reFU— toty requirements? <br />y 0 Y1a• Wes the tc tng apparatus property rtttarucu: <br />Yes ❑ Na• For mcchanFt:a! £.LDs, does Ute LLF3 restrict product #3ow if it detects a leak? <br />0 NfA <br />Yes E3 For ettsatronie LLF3s, Lines the turbine autamaticatly strut ori if the LLE3 detects o leak? <br />NIA <br />Yes D Nar For elet tronic LLDs, tMes the turbine autoill; Ically stout off if any portion of them tutitosystem is disabled <br />NIA or disconnected! <br />Yes C) $o,* For electr is LLt3s, does the turbine autamaticatty shut aff if any portion of the motiEtttt ing system <br />atre I ntetfunetians OF faft a test? <br />Q NIA <br />Yes ® No" Were alt items ort ih <br />t Phe Sectiort F4 below, dcsce ih <br />H. Comments_ <br />manufacture's ltrsttlSelMoCe checklist eomptated? <br />tele deftcdcneies W re or will be eurr�i..a <br />Tanknology-NDE 8900 Shoal Creek, Building 200 Austin, Texas 79757 <br />