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FROM :B.Z.SERVICESTRTION MAIN *NCE FAX NO. :916 371 2540 Dec. 09 2005 39:48AN P4 <br />F. In -Tank Gauging/ SIR Equipment; 13 Check this box if tank gauging is used only for inventory control. <br />a 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 monitoring. <br />W Yes <br />❑ No* <br />Has all input wiring been inspected far proper entry and termination, including testing for ground faults? <br />� Yes <br />❑ No* <br />Were ailtank ganging probes visually inspected for damago and residue buildup? <br />Yes <br />Q No* <br />Was accuracy of system product level readings tested? <br />! Yes <br />© No* <br />Was accuracy of system water level readings tested?' <br />Yes <br />C] Na* <br />Were ali probes rainstallod properly? <br />Yes <br />I ❑ No* <br />Wert all items on the equipment rizanufacturcr,s maintcnunce checklist completed? <br />* In the Section H, <br />below, describe stow and when these def eiencies were or will be corrected. <br />G. Line Leak Detectors (LLD). Cl Check this box if LLDs arc not installed. <br />Cam lets the following checklist: <br />IR Yes ❑ No* For quipmcnt start-up or annual equipment certification, was a ]oak simulated to verify LLD performance? <br />❑ N/A (Check all that apply) Simulated leak rate: 0 3 g,p.h.; U 0.1 g.p.h ; Ll 0.2 g,p,h, <br />Yes <br />❑ No's <br />Were all LLDs confirmed operational and accurate within regulatory requirerner <br />Yes <br />Cl No* <br />Was the testing apparatus properly calibrated? <br />Yes <br />❑ No <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />© NIA <br />Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD) detects a <br />N/A <br />G� Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />4 4N/A or disconnected? <br />Yes ❑ No* For electronic LLDs, does thv turbine automatically shut off if any portion of the monitoring system nialfitnctions <br />10 N/A or fails a test? <br />Q Yes Cl Now Por electronic LLDs, have all accessible wiring connections been visually inspected? <br />V N/A <br />P Yes 0 No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />In the Section H, below, describe how and when these deficiencies were or will be cbrreeied. <br />H. Comments: <br />Page 3 of 03101 <br />