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FROM :B. Z.SERUICESTATION MAIN NCE FAX NO. :916 371 2540 an. 2e 2005 09:27AM P10 <br /> F. In-Tank Gauging I SIR Equipment: Check this box if tank gauging is used only for inventory control. <br /> 13 Check this box if not gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipmeat is used to perform leak detection monitoring. <br /> C dethef t. <br /> Yes <br /> U No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Y" <br /> 0 No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 1W Yes U No* Was accuracy of system product level readings tested? <br /> J11 Yes D No* Was accurwy of system water level readings tested? <br /> 'WYes 13 No* Were all probes reinstalled properly? <br /> Yes Q No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section It below,dosadbe,how and when these defid4mcles were or will be corrected. <br /> G. Line Leak Mtectors(LL )4 3% Check this box If LLDs are not installed. <br /> Complete dw follow'=9 dlecklist: <br /> Yes 11 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD <br /> perforimnce? <br /> 13 N/A (Check all that apply) Simulated leak rate: U 3 g.p.h.; U 0.1 g.p.h; 0 0,2 g.p.h. <br /> L ye, <br /> j Yer, t] No* Were all LLDs confirmed opemdonal and accurate within regulatory requirements? <br /> U Yes Q No* Was the testing apparatus properly calibrated? <br /> Q Yes D No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> 0 N/A <br /> U Yes U No* For electronic Ds,does the turbine automatically shut off if the LLD detects a leak? <br /> Q NIA <br /> Q Yes Q No* For electronic LLDs,dogs the turbine autonlaticallY shut off if any portion of the monitoring system is disabled . <br /> U NIA or disconnected? <br /> LJ Yes Q No* For electronic LLDs,does the turbine automatically shut off if I-any poition of the monitoring system malfunctions <br /> Q N/A or fails a tesf? <br /> C3 Yes 13 No* For electronic LLDs,have all accessible wiring connections bcon visually inspected? <br /> D N/A <br /> ff-y—es 12 No* Were all items on the equipment matnufacturor's main checklist completed? <br /> ft Section H,below,desMbe how and when then deficiendes were or will be corrected. <br /> IL Comments: <br /> Page 3 of 3 0"1 <br />