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F. In -Tank Gauging / SIR Equipment: V Check this box if tank gauging is used onl for ent`/ crol. r Check this box if no tank gauging or SIR tis istay�— IV <br />RD,' <br />This section must be completed if in -tank gauging equipment Is used to perform leak detection monitoring. <br />Complete the following checklist: <br />APR 3 0 2015 <br />C Yes <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground fa <br />C Yes <br />No* <br />Nere all tank gauging probes visually inspected for damage and residue buildup? r rP <br />f Yes <br />r No* <br />Nas accuracy of system product level readings tested? <br />r Yes <br />r No* <br />Nas accuracy of system water level readings tested? <br />r Yes <br />r No* <br />Nere all probes reinstalled properly? <br />C: Yes <br />No* <br />ere 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 />G. Line Leak Detectors (LLD): r Check this box if LLDs are not installed. <br />Complete the following checklist: <br />C. Yes <br />f No* <br />For equipment start-up or annual equipment certificatio�nswas a leak simulated to verify LLD performance? (Check all that <br />WO r <br />apply) Simulated leak rate: 3 g.p.h,; o,i g.p,h; 1 0.2 g.p.h. <br />C" N/A <br />( Yes <br />ro No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />CYes <br />r No* <br />Was the testing apparatus properly calibrated? <br />f Yes <br />r No* <br />For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? <br />• N/A <br />C. Yes <br />r No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />Go Yes <br />r No* <br />For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the <br />monitoring system is disabled or disconnected? <br />N/A <br />* Yes <br />r No* <br />For electronic LLDs that are programmed for positive shut down, does the turbine automatically shut off if any portion of the <br />monitoring system malfunctions or fails a test? <br />N/A <br />• Yes <br />No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />N/A <br />• Yes <br />r No* <br />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 />die I.d. failed <br />MAL <br />9A7MT <br />Page 3 of 4 12/07 <br />