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07-14-08 11 :10am Frm-TAIT ENVIRUNTAL 714-560-9237 T-306 P-04/06 P-203 <br />:address: carte Date afTesting/Servicing: <br />In -Tank Gauging I SIR Equipment: [I Check this box if tank gauging is used only for inventory control. <br />�Check this box if no tank gaugitg, or SIR equipment is installed. <br />This section Bust be completed if in -tank gauging equipment is used to perform leak detection monitoring. <br />M Yea <br />ElHas <br />all input wiring been inspected for proper entry and tanni=tiou, including testing for ground faults? <br />Yes <br />0 <br />o* <br />1(03* <br />Were all tank gauging probes visually inspected for damage and residue <br />Yes <br />0 <br />o*'l <br />Was accuracy of system product level readings toned? <br />(I Yes <br />0 <br />Was accuracy of system water level readings tested? <br />E3 Yes <br />El <br />o* <br />Were all probes reinstalled properly'? <br />3 L�S'❑ <br />yPar <br />es <br />o" <br />Were all iterras on the it manufacturer's maintenance checklist completed? <br />I In the zi 7 � Deiow, cescriDe now ana wnen mose ocumeanta wrap or wast UG, WV1_==U. <br />G. Line Le I Detectors (LLD): 0 Check this box if LLDs are not installed, <br />es <br />,ptfiFkatjon, was a leak simulated to verify LLD performance? <br />equipment start-up or annual aquipm=t c <br />C3 <br />N/A <br />(Check all that apply) Simulated leak, rate: Cn gp,b, 1; M 0.1 B.P.11,2; 0 0.2 S.P.1 2 <br />N=s: 1, Required for equipment start-up certification and annual ccrtifilcation. <br />2. Unless mandated by local agency, certification required only for electronic LLD start-up. <br />C <br />o* I <br />to* <br />Wen all LLDs confir=4 operational and accurate within regulatory requirements? <br />yPar <br />es <br />C <br />W;; the testing apparatus properly calibrated? <br />M Yes <br />M <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />0 Yes <br />0 <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />El <br />/A! <br />-Yes <br />o" i <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑1 <br />VA <br />or disconnected? <br />Yes <br />QI <br />o* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br />3 <br />Malfunctions or fails a test" <br />Yea <br />I -* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />El <br />t/A <br />Yes <br />Were ail items on the equipment manufacturer's maintenance checklist completed? <br />