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11/12/2003 11:10 9163712 _ BZSERVSTAMAINT PAGE 04 <br /> F. In-Tank Gauging/SI.Equipment: 6 Check this.box if tank gauging is used only for inventory control, <br /> O Cheek this box if no tank gauging or SIR equipment is installed. <br /> This soctiou must be completed if in-tank gauging equipment is used to perform leak detections monitoring. <br /> Com lute the folio checklis— <br /> _P <br /> Yes O No* Has all'inputwiring been inspected for pro#er entry and terminatic c4 including testing for ground faults? <br /> es Q No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> JX Yes O No* Was accuracy of system product level readl,498 tested? <br /> Yes O No* Was accuracy of system water level readier tested? <br /> Yes ❑ No* WOc all probes reinstalled property? <br /> Yes O No* Were all items on the equipment tmanufact 's maintenance checklist completed? <br /> *_In the Section K below'describe how and when these deflci cies were or wiMbe corrected. <br /> G. Line Leak Detectors(LLD): <Check this boat if LLDs are not installed. <br /> Com Iete the toch t; <br /> Q Yes O No* For equipment start-up Or annual equlpmeot cettif catiof, was a leak simulated to verify LLD'performance? <br /> O NIA (Check al!that apply) Simulated leak rate: 3 g.p.h_; M0.1 g.p.h; Q 0.2 g.p.h. <br /> O Yes O. No* Were all Ll_.Ds confirmed operational and a4cnmte within regulatory requirements?, <br /> ❑ Yes ❑ No* Was the testing apparatus properly eallbra ? <br /> Q Yes O No* For mechanical LLDs,does the LLV restrict.product flow if it detects a leak? <br /> Q NIA <br /> C3 Yes O No* Fos electronic LLDs,does the turbine automidcally shut off if the LLD detects a leak? <br /> O Yes ® No* For electronic LLDs,does the turbine autottisatically Haat off if.any portion of the monitoring system is disabled <br /> Cl NIA or disconnected? <br /> 0 Yes O No* For electronic L LD9,does the turbine autom*tically shut off if any portion of the monitoring system malfunctions <br /> O PIA or fails a test? <br /> 0 Yes O N0, Far electronic LLDs,have all aceossiblo wiri g connections been visually inspected? <br /> O NIA <br /> ®,Ye$ O No* Were all items on the equipment madufactut ws maintenance checklist completed? <br /> *in the Section H,below,describe how and when these detleleheles were or will be corrected. <br /> H. Comments: <br /> Page 3 Of 3 03MI <br />