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.Site Address: —10 F. 12"" STREET, LODI,CA. Date of Testing/Servicing: 08-16-2007 <br /> F. In-Tank Gauging/SIR Eqgtpment: Check this box if ttuging is used only for inventory <br /> control. <br /> F-I Check this box if no tank gauging or SIR equipment is <br /> installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> E] Yes Z No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> El Yes IE No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes 0 No* Was accuracy of system product level readings tested? <br /> E] Yes M No* Was accuracy ot'system water level readings tested? <br /> No* I Were all probes reinstalled properly? <br /> El Yes 1 9 equipment manufacturer's maintenance checklist completed? <br /> * In the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): Z Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Ej Yes n No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> E] N/A (Check all that apply) Simulated leak rate: El 3 g.p.h.1; El 0.1 g.p.h.2; El 0.2 g.p.h.' <br /> Notes: 1. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> El Yes El No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Ej Yes 1-1 No* Was the testing apparatus properly calibrated? <br /> I <br /> E] Yes Ej No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> El N/A <br /> n Yes F1 No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> El N/A <br /> E] Yes E] 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 /> El Yes El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> [:] N/A malfunctions or fails a test? <br /> ❑ Yes n No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> El N/A <br /> El Yes E] No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H, below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> NO OTHER SENSORS OR PROBES WERE INSPECTED OR TESTED AT THIS TIME. <br />