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F. In -Tank Gauging / SIR Equipment: Check this box if tank gauging is used only for inventory control. <br />Check this box if no tank gauging or SIR equipment is 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 />r: Yes <br />r" No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />rr Yes <br />r" No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />ro Yes <br />r` No* <br />Was accuracy of system product level readings tested? <br />r*° Yes <br />r No* <br />Was accuracy of system water level readings tested? <br />C Yes <br />Ir No* <br />lWere all probes reinstalled properly? <br />r: 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 />G. Line Leak Detectors (LLD): r Check this box if LLDs are not installed. <br />Complete the following checklist: <br />r: Yes <br />r' No* <br />For equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? (Check all that <br />r <br />r. N/A <br />apply) Simulated leak rate: 3 g.p.h.; r o.l g.p.h; i 0.2 g.p.h. <br />r` Yes <br />rT No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />r: Yes <br />r No* <br />Was the testing apparatus properly calibrated? <br />r^ Yes <br />No* <br />For mechanical LLDs, does the LLD restrict product Flow if it detects a leak? <br />r. N/A <br />f" Yes <br />ri No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />C N/A <br />(� Yes <br />r` No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br />r N/A <br />r: Yes <br />r" No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br />r N/A <br />Yes <br />r" No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />r N/A <br />re 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 />Page 3 of 4 12/07 <br />