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F, In -Tank Gauging/ SIR Equipment; 0 Check this box if tank ganging 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 monitorinb. <br />Comnlete the follorvin¢ checklist: <br />❑ Yes <br />Q No <br />ifas all input wiritxg beers inspected for proper entry and terminad 'ng testing for ground faults? <br />❑ Yes <br />0 No* <br />Were all tank gauging probes visually inspected for dams d residue buildup? <br />❑ Yes <br />❑ No` <br />Was accuracy of system product level readings t ? <br />❑ Yes <br />Q No* <br />Was accuracy of system water level to tested? <br />0 Yes <br />d No* <br />Were all probes reinstalled pro y? <br />❑ Yes <br />❑ No* <br />Were all items on the prnent manufacnrrer's maintenance checklist completed? <br />" in the Section ti, below, ciescrt ow ana when tuese acuctenaes were or vnu ue correcaen, <br />G, Line Leak D tors (LLD)= ❑ Check this box if UDs are not installed. <br />Co a the foliowin checkiist: <br />es :J No* For equipment start-up or annual equipment c <br />pedication, was a leak simulated to verify LLD performance? <br />0 N/A (Check all that apply) Simulated leak rate: 3 g.ph; ❑ 0.1 g.p.h ; Q 0.2 g.p.h. <br />es 0 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br />U Yes <br />O Noy' <br />Was the testing apparatus properly calibrated? <br />13d—Yes <br />U No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />U Yes <br />U No" <br />for electronic L L.Vs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ N/A <br />❑ Yes <br />O No* <br />For electronic # LI)s, does the, turbine automatically shut off if any portion of the monitoring system is disabled <br />Q !\Ute <br />of discotmectrd? <br />❑ Yes <br />0 No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />0 NIA <br />I or fails a test? <br />0 Yes <br />❑ NouFor <br />electronic L .Ds, have all accessible wiring connections been visually inspected? <br />Q N/4 <br />cs <br />CINo* <br />Were all itzms on the equipment manufacturer's maintenance checklist completed? <br />* In the Stetiqu 8, btWvt, describe ho\N aud vrbm these defies wem or will he carrecied_ <br />H. Comments; <br />Page 3 of 3 OVOI <br />