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01/30/2003 09:12 8188 29 TRIANGLE PAGE 03 <br /> F. tat-Tank Gouging/SJR Equipment: �-$Check this box if tank gauging is used nnly for inventorycontml, <br /> O Chock 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 followdDR checklist: <br /> ❑ Yes Q No* Has all input wiring been inserted for proper entry and termination,including testing for ground faults? <br /> ❑ Ycs ❑ No" Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yea ❑ No* Was accuracy of:system product level readings te..ted? <br /> ❑ Ye? 0 No* Was accuracy of system wager levet readings tested? <br /> D Yes O Nor Were all probes reinstalled properly? <br /> ❑ Yes D Nn* Were at I items on the equipment manufacturer's maintenance checklist completed? <br /> e In the Section H,below,describe how and when the"deficiencies were or velli be corrected. <br /> G. Line Leah Detectors(LLD): O Check this box if U re not installed. <br /> Co hate tie fallo hist checklist: <br /> Yes ❑ Nor For equipment. start-up or annual cquipmCrtt rtifvcation, was a leak simulated to verify LLT) performance? <br /> 13N/A. (Check all that apply) Sinrulated leak rate: 3 g.p.h.; 130.1 g.p.h; ❑0.2 g.p.h. <br /> 91 Y O No* Wcrc all LLDs confirmed operational and accurate within regulatory requirements? <br /> es ❑ No- Was the testing apporatus properly calibrated? <br /> Yes 0 No* For mechanical LLDs,docs the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yet ❑ J o* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑ Yes ❑,PJox For ckctronic LLD9,does the turbine automatically.hut off if any portion of the monitoring Aya,em is disabled <br /> "U /A or disconnected? <br /> Q Ye. ❑ PF * For elec uric LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> NIA or fails a test? <br /> 0 Yes A3 For electronic LLM,have all accessible wiring connections been visually inspected? <br /> /A — — <br /> ee lvo" Weft all items on the equipment manufacturer's maintenance checklist completed? <br /> 'In Lite Section H,below,describe how and when these def"Kiencies were or will he corrected. <br /> )FI_ Comments: <br /> Page 3of3 ;_m <br />