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Feb 14 03 03:49p F nzen Hill <br />F. In -Tank Gauging/ SIR Equipment: <br />5F"'881467 <br />p.5 <br />❑ Check this box if tank gauging is used only for inventory control. <br />Cl Check this box if no tank gauging or SITZ equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />Complete the fnllowina rhPrklict- <br />iRr Yes <br />53, Yes <br />❑ No* <br />❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />Yes <br />❑ No* <br />Was accuracy of system product level readings tested? <br />E� Yes <br />❑ No* <br />Was accuracy of system water level readings tested? <br />Yes <br />❑ No* <br />Were all probes reinstalled properly? <br />ik Yes <br />* Tn the Q—f <br />❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />— R 1-1... An ,:k- t... _.a ...i...._ az <br />..............,..,u .. �.. r_ v• .raaa ata. �Vf 1 GI.,VU. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Complete the follawino checklist- <br />A_Yes <br />❑ No* <br />❑ NIA <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />(Check all that appl}) Simulated leak rate: a3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />❑ Yes <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />❑ Yes <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />❑ Yes <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ No* <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ Yes <br />❑ No* <br />❑ N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />es <br />❑Yes <br />❑ No* <br />- <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />Yes <br />El <br />❑ N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Yes <br />❑ No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />` In the Section H. <br />below. describe hnw and .vhPn th PcP 1M-.,--... vvnru r .uln ►, , a f <br />H. Comments: u e ( sly S ?<� ivt S /ltr9 P` <br />Page 3 of 3 03/01 <br />