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FROM : B. Z. SERO I CESTAT I ON NAI NONCE FAX N0. :916 :371 2540 <br />*Dec. 28 2005 04:28PN P4 <br />F. In -Tank Gauging I SIR Equipment: 15 Check this box if tank gauSing is used only for inventory control, <br />❑ Check 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 morn toring. <br />Yes ❑* Has all input wiring been inspected for proper entry and termination, including testing far ground faults? <br />Yes ❑ Noo * Were all tank gauging probes visually ins,pectod for damage and residue buildup? <br />10 Yes ❑ No* Was accuracy of system product level readings tested? <br />9 Yes U No* Was accuracy of system water level readings tested? <br />0 Yes ❑ No* Were all probes reinstalled properly? <br />IR Yes D NO Were all'tens on the equipment inanufacturer's maintenance checklist completed? <br />- In the Section !, below, describe horn and when these dcf9cEencles were or will be corrected. <br />G. Line Leak Detectors (LLD): Q Check this box if LLDs are not installed. <br />Complete the following checklist; <br />Yes ❑ No* F`or equipment start-up ar annuaI equipment certification, was a leak simulated to verify LLD performance? <br />0 NIA (Check all that apply) Simulated leak rate: 3 h,; O 0. i <br />g p• g.p.h ; C7 0.2 g.p.h. <br />5 Yes <br />C] NO <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />I Yes <br />❑ NO <br />Was the testing apparatus properly calibrated? <br />0 Yes <br />1] No* <br />For mechanical LLDs, does the LLD rostrict pracluct flaw if it detctcts a leak? <br />D NIA <br />0 Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a teak? <br />N/A <br />© Yes <br />C} No* <br />It <br />For electronic LLDs; does the turbine automatically s1lu.t off if any portion of the monitoring system is disabled <br />N/A <br />or disconnected? <br />❑ Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine autoinatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />❑ Yes <br />1. <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />9 NIA <br />M Yes ❑ No* Were all items an the equipment manufacturer's maintenance checklist compl+ <br />In the Section H, below, describe how and when these deficiencies were or will be corrected, <br />H. Comments; <br />Page 3 of 3 <br />03101 <br />