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From: Franzen -Hill Inc. To: 12094683433 <br />is <br />Page: 5/6 Date: 7/14/2010 4:04:28 PM <br />46, <br />F. in Tank Gauging ! SIR Equipment: E Check this box if tank gauging is used only for inventory control. <br />E Check this box if no tank gauging or SIR equipment is installed. <br />This section must be completed if in4ank gauging equipment is used to perform leak detection monitoring. <br />Comnlets the following checklist: <br />Yes <br />E <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />Yes <br />E <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />E <br />No* <br />Was accuracy of system product level readings tested? <br />Yes <br />E <br />No* <br />Was accuracy of system water level readings tested? <br />Yes <br />E <br />No* <br />Were all probes reinstalled properly? <br />Yes <br />E <br />No* <br />I Were all items on the equipment manufacturer's maintenance checklist completed? <br />. in the Section 11, Dow aescriDe now ano when these oenciencies were or wni De correctea. <br />G. Line Leak Detectors (LLD): E Check this box if LLDs are not installed. <br />Comolete the followlna checklist - <br />- in the ;section n, oerow, oescnce now ano wren there aencrencies were or wiir oe correctea. <br />H. Comments: <br />Monlioring System Certification Page 3 of 4 12107 <br />3 <br />This fax was sent with GFI FAXmaker fax server. For more information, visit: http://www.gfi.com <br />2/21/07 <br />Yes <br />E <br />No* <br />For equipment start-up or annual t certification, was a teak simulated to verify LLD performance? (Check aff <br />E <br />NIA <br />that apply) Simulated leak rat E 3 g.p. E 0.1 g.p.h ; E 0.2 g.p.h. <br />E <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />less <br />E <br />No* <br />Was the testing apparatus property calibrated? <br />E <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />E <br />NIA <br />E <br />Yes <br />No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />NIA <br />E <br />Yes <br />E <br />No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />_ <br />NIA <br />or <br />E <br />Yes <br />ENo* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br />NIA <br />falls a test? <br />E <br />Yes <br />E <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />NIA <br />Yes <br />E <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- in the ;section n, oerow, oescnce now ano wren there aencrencies were or wiir oe correctea. <br />H. Comments: <br />Monlioring System Certification Page 3 of 4 12107 <br />3 <br />This fax was sent with GFI FAXmaker fax server. For more information, visit: http://www.gfi.com <br />2/21/07 <br />