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OCT-25-2007 17:55 CITY OF LODI 209 333 6710 P. 12 <br /> F. In-Tank Gauging/SIR EquipAt: Check this box if tank g4,.e,ng 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 leak detection monitoring. i <br /> Complete the follo ng checklist: <br /> I.7 Yei ❑ No- Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings bested? <br /> U Yes U No* Were all probes reinstalled properly? <br /> ❑ Yes ❑ 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 /> Com left the long 'aw checklist, <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD pwfbrmanee? <br /> ❑ N/A (Check all that apply) Simulated leak rate: A 3 g.p.h.; ❑0.1 g.p.h; ❑.0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For meebawcal LL13s,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> JQ N/A <br /> ❑ Yes . ❑ No'' For electronic LLDs, does the turbine autnmittieally shirt off if any portion of the monitoring system is disabled <br /> N/A of disconnected? <br /> ❑ Yrs ❑ Nor For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> Uk N/A or fails a test? <br /> O Yes - ❑ No* For electronic LLD.,have all accessible wiring connections been visually inspected? <br /> ill N/A <br /> Yes 0 No' I Were all items on the equipment man's maintenance checklist completed? <br /> * <br /> In the Section%below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: ' <br /> Page 3 of 3 03/01 <br />