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Work Order: 2248462 <br />Site Address: <br />'F. in -Tank Gauging / SIR Equipment: <br />Date or,restigo/seiNicing:0_11 <br />Check this box if tank gauging is used only for inventory'contror. <br />Q Check this box if no tank gzeuging or SIR equipment is instarlecl. <br />This section must be completed iFin-tarok gau gilt = c <br />.0, b b 6 cluip,nent is used to perform leak detection monitoring. <br />Complete the following checkrist: <br />WNo <br />* Has all input wiring been inspected for proper entry and [ermination, including testing for ground faults? <br />* Were al! tank gauging probes visually inspected for damage and residue btuirdup? <br />' Was accuracy ofsystem product revel readings rested? <br />Was accuracy of system water level readings tested? <br />Were all probes reinstalled properly? <br />Were al! items on the equipment manufacturer's maintenance checklist cattplcted? <br />"-In theSectinn lit below, describe how and when these deliclencies were or will be corrected. <br />G_ Lime Leak Detectors (LLD): O Check this box if LLDs are not installed. <br />Complete the following checklist: <br />Yes ❑ No• For equipment start-up or annual equipment c ideation, was a leak simulated to verify LLD perfotmance7 <br />Q NIA (Check all Akar apply) Simulated leak rate: 3 g.p.h.; ❑ p.1 g,p,h 110,2 g p h <br />❑ No* Were all LLDs confirmed operationar And accurate within regulatory requirements? <br />Cl No* Was the testing apparatus properly calibrated? <br />yes ❑ No* For mechanical LLDs, does the LLD restrict product flow <br />0 N/A if ir detects a leak? <br />I Yes L3 • For electronic LLDs, does the turbine automatically shut off if the LI,D detects a leak? E <br />:fd NIA <br />Yes 4 For electronic LLDs, does the turbine automalit ally Sfttlt off If tiny portion of the monitoring system is disabled <br />NIA ordisconnected7 <br />Yes D No+ For electronic 1.Llls, does the turbine automatically shut oft' if any portion of the monitoring system <br />NIA marPunctions or faits a test? <br />Yes _❑ N/A No Forel"Irunre LLDs, have all accessible wiring connec <br />k1tions been visuairy inspected? <br />yes D No' Were <br />n the Seall items on the equipment manufacturer's maintenance checklist completed? <br />rtioo N, below, describe how xnd when these de[lciencJes ►vete of wfEl be corrected. <br />Comments: <br />Tanknology Inc. 8900 Shoal Creek, Building 200 Austin, Texas 78757 <br />