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MAR 0 4 2015 <br /> F.In-Tank Gauging/SIR Equipment: r7.Check this box if tank gauging is used only for inventory control. <br /> r Check this box if no tank gauging or SIR equipmepbi�i' gdfONM ENTAD. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. I V—�,�n_ <br /> Complete the following checklist: <br /> Yes NO las all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes No* Nere all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes No* Nas accuracy of system product level readings tested? <br /> Yes No* Nas accuracy of system water level readings tested? <br /> Yes No* Nere all probes reinstalled properly? <br /> Yes No* Nere all hems 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 /> G.Line Leak Detectors(LLD): r Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> • Yes No* or equipment start-up or annual equipment certifications was a leak simulated to verify LLD performance?(Check all that <br /> N/A pply)Simulated leak rate:*r 3 g.p.h.; r 0.1 g.p.h; 1 0.2 g.p.h. <br /> • Yes r No* Nere all LLDs confirmed operational and accurate within regulatory requirements? <br /> • Yes r No* Nas the testing apparatus properly calibrated? <br /> Yes r No' or mechanical LLDs,does the LLD restrict product Row if it detects a leak? <br /> • N/A <br /> • Yes r No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> IT Yes r No' For electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A omboring system is disabled or disconnected? <br /> • Yes r <br /> No* or electronic LLDs that are programmed for positive shut down,does the turbine automatically shut off if any portion of the <br /> N/A onitonng system malfunctions or fails a test? <br /> IT Yes r No* or electronic LDS,have all accessible wiring connections been visually inspected? <br /> N/A <br /> • Yes r No* ere all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section N,below,describe how and when these deficiencies were or will be corrected. <br /> N. Comments: <br /> First attempt of 87 Id did not pass.Purged under 2 gallons of fuel then 87 ld passed.No repairs needed. <br /> Page 3 of 3 12/07 <br />