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09/18/2014 06:29 120933e"-73 FLAGCITY CHEVRON PAGE 04/07 <br />PAq• MY <br />t79! 1 512014 1 8; 6G <br />F. Ift-Tanh Cauging l SIR Equipment: M Chock thls box VC no taCheck this box Iftank nk gauging ois r SIR equlpm� lnatsrlled. <br />This section must be completed if k, -tank gauging equlpmartt Is u3ed to perform lank detection monitoring. <br />CotnpIpw the fog owing cheddist: <br />$ Yes ❑ Na' lies all Irtput wiring brren Inspected ror proper entry end r4w;aaUon, Including testing for ground Faults? <br />Yea ❑ No' Were eg tank gauging probesviauttllY Inspected for damage and resldutl------------------------- <br />buildup? <br />Yes ❑ Ne Was, occurney of system product level reading? testod7 <br />Yos ❑ Nd late' accuracy of system water levei roodings tsatad7 <br />M Yes ❑ No' Were all protat rolnstellpd properly? <br />10 Yes 10 No' Were all item^ an the egUlpmarn manufacturer's mrtlntenence rhOckifat compl0 <br />In aecntin h4 tMow, now <br />Line Leah Detectors (LLD): <br />re orwo be correeu:a. <br />❑ Chackthin box Ifl,LDsare riot, in:+tollod. <br />compimito <br />the fO1lowln cnscatur. <br />nual k n leek aimUlsted to vwIfy LLD perfomtanaa? (Check nN that apo!} <br />Yes <br />❑ No' <br />❑ N/A <br />F� leutedm tit err�o ®SII annualhwas <br />Oulp p h ;ce❑rtlocZ <br />❑ Yos <br />No' <br />VHere all LLDs conflrmod operational and accurate Within regulatory requirements? <br />® Yon <br />❑ Nd <br />Wes the testing apparatus prbpedy eallbratM? <br />N Yon <br />C] No' <br />For mechanical LLM door the LLD roctrlct prpduct flow If it detects a look? <br />❑ Yes <br />Tl N/A <br />d No' <br />For 0lectronIs LL Ds, does the turbine autornaticelly phut off Ifthe LLD detects a 1Bbk7 <br />❑ Yes <br />WA <br />❑ No' <br />oeellyshut offif ony portion ortha monitarin9.y:lam is ctiaakded or dl carmeded? <br />Foreleetronk 1-1-0t; does the turbine olumnU <br />0 Ye: <br />IN NIA <br />j] No' <br />y ram rnntRe,cliane or fails a tr) t7 <br />For oloctronic LLDs, dans the turhln0 outomaticelly phut off Ilan portion of the mo system <br />0 Yen <br />[$ 1dfA <br />© No` <br />For electronic LLDn have all accessfbte wiring cannnctions been visually inspected? <br />0 Yes <br />N/A <br />[] No, <br />Wein ail Rams on the equipment mehllfaetureeg maintenance checklist eomploted? <br />" in Secllon W, odour, dewtue how iiia when these denc10n010were or ;U be correctea. <br />it. comments: <br />87 & 91 Leak Detectors Failed HMC will do repairs & Retest <br />wnitwft system ccttll'kation Pwge 3 of 4 2/21/07 <br />