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P�a=k this box if Lank g <br /> F. in-Tank Ganging I SM EquiPment- gauging is used only for inventory COUVOL <br /> :D Check this bDX if no tank pugirig or SIR equipment is installed. <br /> This S-etiol)must be completed if in-tank gaugino equipment is used to perform leak detection MonitOrinI:-, <br /> I lete thet . checumt: and mmwwUM mdudM MM9 fOr 90und fauks? <br /> M Yes ia No- Has A ir4nn V*fag tem MspecwA for Prom entry <br /> buildup'! <br /> 0 yes I El No* Were all tank ganging <br /> E3 Yes t Q No* Was Of M�_�le-vel readings teaed? <br /> wer affings <br /> E:f yes E3 No* Was aocurmcY of em w level RXr <br /> Te ws - <br /> I3 Yes __ R V* Were alt . Red la y? ed? <br /> 0 yes 0 No- WM all on the eq*w=(manuWnnes maintenance dMidist complete <br /> ion how and ame deficienciw were or will be ewredod. <br /> in the SectB_ <br /> G. Lute Leak Dawtors IJLD) 0 Check this box if LLDs are not installed. <br /> COMPIetathe. <br /> Q bio" For equipment SM-ep or amival equperformance?performance?ipment cerfificallios, was a leak simdated to verify LLD <br /> PF"s JN/A (Chi%*aU ) siTaulawd leaTE raw: 1;13 g.pJL, 0 0-1-R-PJJL; Q 0-2 9-PIL <br /> V\, <br /> and accurae vnihm, OaMfY wquiy�- <br /> Yes EI No- Were all M <br /> LLDS cOnfimned <br /> Yes 0 Ne Was the tesfing apparatus p calibrated? <br /> 4& Yes 0 No* For mechwcat LLDs,does the LLD remnaprodauflow eit detects a leak? <br /> 0 NIA <br /> CI Yes 0 No,, For elactrorm LLD9.do=the turbme gutomaucaffy skat offifft LLD deem a leak? <br /> 10 NtA is disabled <br /> *- For els,ectronic UDdoes dw turbine automMiCBRY shut if Off MMY Of PMWU the moukOdug qs= <br /> �Q yes 0 No� 1, <br /> Q <br /> yes <br /> Yes 0 No* Fm ejoetronk LIXK,does the uwbme maomaticany shut offif any pordon of the MniumiM system nWfwXEiOUS <br /> CI N[A or hils a test? <br /> N <br /> 0 Yes 0 Ne Fw W�LLDs.have all accessible wing comecdons bees YMMIallY iD4"CIzd" <br /> 10 MA <br /> Yes Q Ne W=ail itew on&e e"pment manAwame checiffist compkuM <br /> in tho Ser.6=12j,bdow,deswbe baw aud when thm de5deacia wexe or wK be conmeted- <br /> Ale COBMnMIS- <br /> AD <br /> re <br /> Page3*13 Vol <br />