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May-20-08 09;39 am From-G.ettller-is Inc +VM411611 0 1-013 r-UU01UU0 r-4 to <br /> F. In-Tank Gauging/SIR quipment, Q Check this box if tank 92uging is used only for inventory contT <br /> 3 Check this box if no tank gauging or SIR cquipment is installc( <br /> This section must be COMPICt�d if in-tank gauging equipment is used to perform Icak detection monitoring, <br /> Complete the following ch"ki ist., <br /> 0 yes C3 No- Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Q Yes C5—Now Were all tank gauging probes vj5ually inspected for damage and residue buildup? <br /> ZI Yes No* Was accuracy.lbf system product level readings tested? <br /> 0 0 --d—No* Was accuracy bf system water level readings tested? <br /> Yes <br /> Q Yes 0 N robes reinstalled properly? <br /> El yes E3 N :emsi on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,below,describO bow and when these delisciencies were or will be corrected. <br /> G. Line Leak Detectors (LLP): L) Check this box if LLI)s are not installed. <br /> comple the fallo ing checklist: <br /> Yes _�No*� For equipment, start-up or annual equipment certification, was a leak simulated to ver4 LLD performanc, <br /> (3 N/A (Check all that'apply) Simulated leak mte: QAg.p.h.; CIO.1g.p.h ; 00.2g.p.h. <br /> 7%:' <br /> I yes I Cj No* Were all LLDs'confirrned operational and accurate within regulatory requirements? <br /> -- -7--i <br /> yes C1 No- Was the tesung apparatus properly callibrated? <br /> 0 Ycs U No* For mechanical I LLDs,does the LLD rcstrict product flow if it detc=a leak? <br /> �2r­N/A I <br /> yes Q No* For electronic L,LDs,does the turbine;u-tomatically shut off if the-=daects a-feak? <br /> E3 N/A <br /> 0 Yes -U—No* For electronic kLD9, does the turbine automatically shut off if any portion of the monitoring rystem is disable <br /> %WN/A or discormected,? <br /> 0 Yes does the turbine automatically shut off ffany portion of �ionl�tofi% syster <br /> Xf N/A malfunctions or!fails a test? <br /> ;Ejz�yes 0 No* For electronk�EDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A i <br /> No* Were all items�n the equipment manufacturer's maintenance checklist completed? <br /> In—the 8ec tion H,below,describe how and when these deficiencies were or will lit correct—ed.-_ <br /> -T <br /> H_ Cornments; �_A <br /> /',I S zf- <br /> Page 3 of 3 o1ol <br />