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JUL-12-2010 12 :00 PM GETTLER—RYAN INC. 925 551 4770 P. 04 <br /> Nnnitnrinp 4t�atfutn C.'urfitinntinn <br /> F. In-Tank Gouging/Sill E:(juipment: ❑ Chmk this box if tank gauging is used only titer inventory control. <br /> ❑ Check ilik helix if no tank gauging or SIR equipment is inoalled <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> ® Vcs, d No* Fla.all input hs-iring been insliecrrd fi)r proper entry and termination.including testing for ground faults? <br /> ® Yes ❑ No* Werc all tank gauging probes visually inspected for damage and resichin huddup? <br /> M Yes ❑ No* Was accuracy of system product level readings tested'' — <br /> M Yes ❑ NO* Was accuracy of systenh water let el readings,tested? <br /> ® Yes ❑ No" Were all prohes reinstalled properly" <br /> Yen ❑ No* .Were all items on the equipment n,nnufncturer's ninintcnance checklist compicted? <br /> +In the Suction H,below,deicribe how and when these deficiencies were or will be corrected. <br /> G. Linc Leak Detectors (LLD): ❑ Check this box if l l Ds are mar installed. <br /> lumptete the following checklist: _ <br /> ❑ Yes Cl No* For equipment ,tart-up nr annual equipment certifacatinn, was a Irak simulated to verify I LD IxrkTrrnance'? <br /> C] N/A Whrc'k ct//theft (Mv) Simulated leak rate: ❑ ?g.l,,h: [- <br /> .j h l g.p.h : ❑ it2 g.p.h, <br /> L] Yes [] No* Were till LI Ds confirmed operttionaf and accurate within regulatory requirernents? � <br /> ❑ Ye. ❑ No* Was the testing apparAttis properiv calibrated'? <br /> ❑ Yes ❑ No* For mechanical 1.1.11x,clots the LLD restrict product flea if it detests a leak' <br /> 0 N/A _ <br /> 0 Yes [] No* For electronic LLDs,ditrs the turhinc automarically shut off if the LLD detects a Irak? <br /> ❑ N/A <br /> ❑ Yes O No* For electronic 1.10s, doe% the turbine automatically shut off ii'any portion of the rnonitorrnv iy-ern i,disahled <br /> ❑ N/A or disconnected? <br /> ❑ Yes 1=3 No, for electronic LI-Ds.dies the turbine ahutonlaticnlly shut ufl ifany portion of the monitoring:-ivracin rnaliunctiona <br /> 0 N/A or fails a test;' <br /> ❑ Vcs ❑ No* For electronic I ED,., have all accessible%wing connccUuns herd visually inspected? <br /> ❑ NIA <br /> ❑ Yes ❑ No* Were alt items on the equipment mmrufacturer's maintenance checkli.t completed? <br /> *In the Section 1•I,below,deserlhe how and when these cleflelenelem were or will be corrected. <br /> H. Comments: <br /> rage 3 or 3 <br />