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NOV-213-2012 17:33 From: 2098254549 To:4683433 Paee:11111 <br /> F. In-Tank Gauging!SIR Equipment: X Check this box if tank9a u9i9 <br /> n *used only for inventory cgntloi. <br /> Check this boa no tank gauging or SIR eouipment is Instated. <br /> This section must be Completed If in4ank gauging equipment is used to perform leak detection monitoring. <br /> Com the followin checklist; <br /> Yes C No' Hasan input wiring been inspected for proper entry and tenttinetion,Mcludih testi <br /> Yes 0 No' Were all tank gauging rob c n9 for ground faults? <br /> 9 g g P es visually inspected for damage and residue buildup? <br /> -' Yes C No' Was accuracy M system protlud level readings testedl <br /> Yes No' Was accuracy of system water level readings tested? <br /> Yes 2 Np• Were all Probes mirretailed pmperNO <br /> Yes ^_ No' Were all9ems on Me epuipment manufacturers maintenance Checklist compleped? <br /> In the Section H,below,describe how and when dlesae defirJencles were or will be corrected. <br /> G. Line Leak Detectors(LLD): ❑ Check this box if Li are not installed. <br /> Complete the following checklist: <br /> Yes = No' For equipmemstart-up or arm <br /> WA Nee eual equipment cerwiI on,was a leak simulated to verify LLD pedomrmnce?tcheck ail <br /> PAb') Simulaled leak rate: E 3 g,p.h.; ❑0.1 g,p.h; C 0.2 g,p-h. <br /> Yes D No' tnkve an I.LDs col7firI II I opeerstimial and accurate wshmMato <br /> D Ne' reg N <br /> Yes raqueemems. <br /> 9 Yes C No' Four Nnrechanical LL does the LLD®Ireshktp roduct flow if it deNgs a leak? <br /> 0 WA <br /> -' Yes C No' For electronic LCDs,does the turbine autarttabcaily shut off n Ne LLD detects a leak? <br /> CI WA <br /> Yes 0 NO, For elecbvnic LLOs,pots dee turbine autometicail shut off rf an <br /> C WA disconnected? y y porion M the nwnBoring system is disabled or <br /> is Yes U No" For electronic LIDS.tloes the turbine autamaticalN shut off'rf anY Portion of the monilodrtg system malfunctions or <br /> D WA fags a test? <br /> [i Yea 0 No' For eiedmnio LLOs,have ell accessible Winn cvnnecko in been visaal s <br /> - ❑ N/A e N mspeclatl. <br /> Yile I No' Were all items on the equipment manufacturers maintenance checklist complate7? <br /> •In the Section H,balm.,describe now and when these deficiencies were or will be corrected, <br /> H. Comments; PER SR PU BO RD WqS REPLACED FFFARLIE AND ALL NOW NFIRME WITH C U <br /> TO E OPERATING q5 DFgryED <br /> r Menhisang System Certification <br /> Fags a of e <br /> t2f07 <br /> 4 <br /> 2/21/07 <br />