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RECEIVED F. in -Tank Gauging / SIR Equipment: X Check this box if tank gauging is used only for inventory control. Check this box if no tank gauging or SIR �py�ipfr�grt� isap;�talled. This section must be completed if in -tank gauging equi vent is used to perform leak detection monitoring. IVtAfS 3 1 LU �� -_t ENVIRONMENTAL. Uompiete enn ivnvvrIT Yes No ��Q��»�. Has all input wiring been spected for proper entry and termination, including testi gr n Yes No* Were all tank gauging prc es visually inspected for damage and residue buildup? Yes No* Was accuracy of system roduct level readings tested? Yes No* Was accuracy of system ater level readings tested? Yes No* Were all probes reinstall properly? Yes No' Were all items on the eqL ment manufacturer's maintenance checklist completed? In the Section H, below, describe how and when ithese deficiencies were or will be corrected. G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. Complete the foilowin checklist; X Yes No` For equipment start-up o annual equipment certification, was a leak simulated to verify LLD performance? (Check all N/A that apply) Simulated le rate: X 3 g.p.h.; 0.1 g.p.h ; :.. 0.2 g.p.h. X Yes No* Were all LLDs confirmed perationai and accurate within regulatory requirements? X Yes No* Was the testing apparat properly calibrated? X Yes No' For mechanical LLDs, d s the LLD restrict product flow if it detects a leak? N/A Yes No' For electronic LLDs, doe 1 the turbine automatically shut off if the LLD detects a leak? X NIA Yes No* For electronic LLDs, doA is the turbine automatically shut off if any portion of the monitoring system is disabled or X N/A disconnected? Yes No* For electronic LLDs, do 5 the turbine automatically shut off if any portion of the monitoring system malfunctions or X NIA fails a test? i Yes No* For electronic LLDs, haw all accessible wiring connections been visually inspected? X N/A X Yes No* Were all items on the eq ipment manufacturer's maintenance checklist completed? In H