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03114. 2016 09: 36 9163712540 <br /> SZ MAINT PAGE 03/06 <br /> this box if tank gaugitg <br /> is <br /> only for inventry cO"tro ' <br /> F. In-'Tank Gauging I SIR Equipment: ❑71 Check this box if no tank gauging used or Sip equipment is ns#aped, <br /> tion uSt be completed if in-tank gauging equipment is used to perform leak detection No llitoring. <br /> Tl><xs sec tzl <br /> Complete the following checklist: <br /> ❑ ected for proper entry and tern}inadtxegtdue buildup?including ting for ground faults? <br /> Yes ❑ No* Has all input wiring been insp <br /> ®Yes ❑ No* Were all taint gauging probes visually inspected for damage a <br /> ® Yes p No* Was accuracy of system product level readings tested? <br /> ® Yes ❑ No* Was accuracy of system water level readings tested? <br /> ®Yes ❑ No* Were all probes reinstalled properly? <br /> tD Yes El 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 corrected. <br /> C. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Coin )etc the followin checklist: <br /> N Yes nnual equipment certification, was a leak simulated to verify LLD perfvrznance• <br /> [3 No* For equipment start-up or a <br /> ❑ N/A (Check crll that apply) Simulate leak rate: 03 g.p.l�•; © U•1 &P-11 ; E] 0.2 g•p.h. <br /> ❑ ccurate within regulatory requirements? <br /> Yes Fl No* Were all LLDs confirmed operational and a <br /> E Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product(low if it detects a leak? <br /> ❑ N/A <br /> ❑ e turbiue automatically shut off if the LLD detects a leak? <br /> Yes Q No* For electronic LLDs,does th <br /> N NIA Portion of the monitoring system is disabled <br /> ❑ Yes F1 No* For electronic LLDs, does the turbine automatically shut off if any <br /> ® NIA or disconnected? <br /> ❑ yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> ® NIA malfunctions or fails a test7 <br /> ❑ Yes ElNo* For electronic LLOs,have all accessible wiring connections been visually inspected? <br /> ® NIA <br /> ® Yes ❑ Na* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Monitoring Certification Test Report 3 of 4 <br />