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Jul 31 03 11 : 05a Fr?nzen Hill 5596881467 p. 13 <br /> F_ In-Tank Gauging/SIR Equipment: <br /> Check this box if tank gauuing is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipment is installed. <br /> 3'CtIO l tll 15i be cO!Ole:cd if in-tail` °au`inc,eft'+ptr.ent is '.:sed t0 per-ForTr leak dCtOctlon T 0i11t0I nj. <br /> amr.!ete the folloA�in_ checklist: <br /> Y'a 0 ilio" Has all input wiring been inspec:ed for proper entry and tcrtruration, including testing for ground faults? <br /> Yes 0 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 /> Y=s 0 No* Was accuracy of sys:em %vater level readings tested'? <br /> J Yes ❑ No* Were ail probes reinstalled properly? <br /> 3 Yes ❑ No* Were all items on the equipment manufacrirer's maintenance checklist completed? <br /> In the Section H, below, describe how and when these deficiencies n ere or tivill be corrected. <br /> �. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not ins(alled. <br /> olete the following checklist: <br /> )(mpYes O No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD er <br /> ❑ N/A (Check all that apply) Simulated leak rate: Y p formance. <br /> �.3 g.p.h.; ❑0.1 g.p.h ; ❑0.2 g.p.h. <br /> XYes Cl No* Were all LLDs confirmed operational and accurate within regulatory.requirements? <br /> Z(Yes ❑ No* Was the testing apparatus properly calibrated? <br /> C Yes 0 No* For mechanical LLDs,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 /> ® N/A <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> !� N/A or disconnected? <br /> Yes ❑ No* For electronic LL )s,does the turbine automatically shut off if any port <br /> 6-N/A or fails a test? ion of the monitoring system malfunctions <br /> Yes ❑ No* For electronic LLDs,have all accessible iviring connections been visually inspected? <br /> iff- N/A <br /> i'es ElNo* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> n the Section 1-1,below,describe how and when these deficiencies were or will be corrected. <br /> Comments: ��z�/� <br /> LZA s � <br /> Pave 3 of 3 <br /> 03101 <br />