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F. In -Tank Gauging / SIR Equipment: r Check this box if tank gauging is used only for inventory control. <br />r 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 />�* Yes <br />r No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />it Yes <br />(_ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />G Yes <br />r No* <br />Was accuracy of system product level readings tested? <br />( Yes <br />(_ No* <br />Was accuracy of system water level readings tested? <br />(* Yes <br />r No* <br />ere all probes reinstalled properly? <br />Jr. Yes <br />C No* <br />1were 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): F Check this box if LLDs are not installed. <br />Complete the following checklist: <br />Yes <br />r No* <br />For equipment start-up or annual equipment certificationy .was a leak simulated to verify LLD performance? (Check all that <br />r N/A <br />apply) Simulated leak rate: F 3 g.p.h.; r 0.1 g.p.h; 1 0.2 g.p.h. <br />Yes <br />No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />is Yes <br />No* <br />Was the testing apparatus properly calibrated? <br />(' Yes <br />i" No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />G N/A <br />f Yes <br />r- No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />r N/A <br />is 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 />i N/A <br />Yes <br />i" 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 />i+ Yes <br />(_ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />r N/A <br />G Yes <br />r 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 />reg and sup passed. die failed. <br />Page 3 of 4 12/07 <br />