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' 19255517888 Main Fax GETTLER RYAN INC 30 a.m. 02-16-2007 4/8 <br /> t <br /> F. In-Tank Gauging/ SIR Equipment: ?'Check this box if tank gauging 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 leakdetectionmonitoring. <br /> Complete the following checklist: Ox"?1 <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,incl or ground faults? <br /> O Yes ❑ No* I Were all tank gauging probes visually inspected fo an residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system produ a Ings tested? <br /> ❑ Yes ❑ No* Was acture em water level readings tested? <br /> ❑ Yes ❑ No!- ere all probes reinstalled properly? <br /> ❑ Cl 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 /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑ YesiT <br /> ment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Check all that apply) Simulated leak rate: Cl 3 g.p.h.; O 0.1 g.p.h; ❑0.2 g.p.h. <br /> L] Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory require <br /> ❑ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flo etects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine a atically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ❑ Yes Ll No* For electronic LLDs,d e turbine automatically shut off if any portion of the monitoring system is disabled <br /> Ll N/A or disconnected? <br /> ❑ Yes ❑ No* For elec c LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> ❑ N/A I ma etions or fails a test? <br /> ❑ Yes O N or electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> ❑ ❑ 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 /> H. Comments: <br /> Page 3 of 3 03101 <br />