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I /Chbox if gauging is used only for inventory contro <br />e* t <br />❑ Check this box if no tank gauging or SITZ equipment is imtallcd <br />" 7 f / • � rt i t J i * �f t It:ilt :� f f - t ' � - [ R � i Li • f • <br />Complete 8128 €o[lowin checkiist: <br />;� <br />� �... <br />frl t 11I•'a� r:Ilt�w-I t It,t .-. 1 [ if a"- It Ir. Yit :I 't II'1.r+,'I t'IT ',.i liil.I t14. f. <br />I <br />❑ N/ <br />.. I TM, 31,1113 ' <br />• Yes <br />o* <br />Were all LLDs confirmed operational and accurate widit regulatory requirements? <br />Q Yes <br />❑ No -r <br />Was She testing Waratus properly mlibaated? <br />i <br />❑ No's <br />For mechanical%LDs, does flee LLD redrict product flow if it detects a leak? <br />❑ <br />sont „. <br />frw t I I:I +~t ■':If I IIY, :/ I/.. tf .?1 .If t ,1 i F■ t :% rt. <br />* B2 the Section ld% below, descnbe how and viten these t2e22taenc2es were or Frau ow im" <br />G. Line Leak Detectors (LLD): <br />IComdete the following checklist: <br />❑ Check this box if LLDs are not installed. <br />Yes <br />❑ No's <br />For equipment starter or annual equipment cation, was a leak simulated to v PmfOnmnc <br />❑ N/ <br />(Check all that gpply) Simulated leak rate: WO g p.h.; ❑ 0.1 g p h; ® 0.2 g ph. <br />• Yes <br />o* <br />Were all LLDs confirmed operational and accurate widit regulatory requirements? <br />Q Yes <br />❑ No -r <br />Was She testing Waratus properly mlibaated? <br />❑ Yes <br />❑ No's <br />For mechanical%LDs, does flee LLD redrict product flow if it detects a leak? <br />❑ <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leaf <br />- - <br />. �' <br />❑ yes ❑ o* <br />y is disable <br />For electronic LLDs, does the turbine automaticall shut off if any portion of the monitoring system <br />' NIA- <br />or disconnected? <br />For electronic LLDs, does dee turbine autoMatibanyLshutmDffif any portion of the monitoring systeammammeaol <br />❑ Yes ®�No!m <br />'lA <br />or fails a test? :. <br />Q yes <br />For electronic LLDs, have alt le widng comiections been.1R ? <br />ETUA <br />es <br />❑ Nom <br />Were all items gn ge.equipment Two factureeimaintenance checlsfigt corugle%i? <br />¢ vn #ha sa&jon if, <br />below,. describe how and when these deficiencies were or will be corrected. <br />Page 3 of <br />ilia <br />M <br />011W <br />