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03126/2010 02: 15 12093697888 OIT LODI AUTO/OASIS PAGE 06 <br /> I <br /> F, In-Tank Gauging I SIR Equlpmen. Check this box if tank gang'fp is used only for inventorycontrol. <br /> ❑ Check this box t(no tank gl aging or sIR equiprnenl is installed. <br /> This sectian must be completed if in-tank gauging equipment Is used to perforin leak detection monitoring, <br /> Complete the following checkfist: <br /> 1"1 Yes ❑ No' Has all input iviring been inspected for proper entry and termination,including testing for pound faults? <br /> ❑ Yes In No, Were all tank gauging probes visualty inspected for damage and fesidue buildup? <br /> Cl Yes Cl No` Was accuraco of system product level readings tested? <br /> E] Yee CO No* Was acture o€system water level readings tested7 <br /> ❑ Yes ❑ No' were all prGI es reinstalled properly? <br /> [:] Yes Cl No, vVere all ite on the equipment manufacturer's anufacturs maintenar}Ce checklist completed? <br /> "In Section H,below,describe how end whi n those deficiencies wore orwill be corrected. <br /> Line Leak Detectors(LLD)' ❑ Check this box if LLDs are not inalailed. <br /> Cam Tete the followl na cheelsllat: _ —- <br /> ® Yes M No* For equlpm t start-up or annual equipment certification, was a leak simulated to ti rfy LLD performance? (Check all that apply) <br /> © N/A Simulated le k rete: ®3 g.p.h.; ❑0.1 g.p.h; ❑4,2 g,p.h. e _ <br /> Yes ❑ No' Were Wttt con rmed pErational and accurate within regulatory f querements? <br /> ® Yes ❑ No' was the test Ing apparatus properly calibrated? <br /> ® Yes ❑ NO- For mechani al LLDs,does the LID reetrict product flow if it detects a Task? k <br /> ❑ NIA L <br /> El Yes ❑ No" For etectroni LLDs,does tha turbine automatically shut off if the LLD detects a leak? II <br /> W NIA <br /> Q Yes ❑ No' For etectroni LLbs,does the turbine automatically shut off if any portion of the rn4ngon- systems is disabled or disconnected? <br /> ® NIA <br /> t~I Yes (] No, For electrons LLD;,does the turbine automatically shut oft If any portion of the monitors system malfunctions or falls a test? <br /> NIA, <br /> ❑ Yes 0 No` For alectrorriv LLD,%,have all accessible wiring ccenectiona boon visually inspected? i <br /> ® NIA (. - <br /> ® Yes ❑ No' Were all ft-nit on the equipment manufacturer's maintenance checklist completed? <br /> "In Section H,below,describe how and when these delclenctes were or will be corrected, i <br /> i <br /> l <br /> I, <br /> Comments; <br /> i <br /> r — <br /> i <br /> F <br /> K <br /> i <br /> ,- I- <br /> i- <br /> , <br /> i <br /> Monitoring System Certification Page 3 of 4 2/21/07 <br />