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F. Iu-I'mik Gauging /Sill Egnipmeut: (J t'Iic.c:k this box if lank gauging is used only for inventory control. <br />U ('heck this box if' 11 tk gauging or SIR equipment is installed. <br />This section must he completed if in -tank ganging, equipment is used to perform leak detection monitoring. <br />Complete the following <br />checklist: <br />❑ Yes ❑ No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />O Yes ❑ No* <br />Were all tank ganging probes visually inspected for damage and wsidne buildup? <br />❑ Yes ❑ No* <br />Was accuracy of system product level readings tes(cd? <br />❑ Yes ❑ No* <br />Was accuracy of system water level readings tested? <br />Cl Yes O No* <br />Were all probes reinstalled properly? <br />❑ Yes 0 No* <br />Were all items on the equipment nnanufacturer's maintenance checklist completed? <br />* In the Section II, below, describe how and when these deficiencies were or will be corrected. <br />btwr if IA I)s installed. <br />G. Line Leak Detectot•s <br />(1,1,1)): this arc no( <br />Complete the following checklist: <br />Urges ❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: Cd'rg—p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />O yes O No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />O _Yes O No* <br />Was the testing apparatus properly calibrate(]? <br />❑ Yes ❑ No* <br />For mechanical LLDs, does the 1.1.1) restrict product flow if it detects a leak? <br />❑ N/A <br />❑ Yes ❑ No* <br />For electronic LLl)s, docs the Imbine automatically shut off if the LLD detects a leak? <br />O" N/A <br />:3 Yes ❑ No* <br />For electronic LLDs, does the turbine aulonnalically shut off if any portion of the monitoring system is disabled <br />O N/A <br />or disconnected? <br />Yes ❑ No* <br />For electronic LLDs, does the hnbine automatically shut off if any portion of the monitoring system <br />EY N/A <br />malfunctions or fails a test? <br />Yes ❑ 'No* <br />For electronic LLDs, have all accrssible wiring connections been visually inspected? <br />E3 N/A <br />7 Yes ❑ No* <br />_ - <br />Were all items on the equipmeu( nianulac(nrer's rnainlenauce checklist completed? <br />' In the Section H, below, describe how, and when these deficiencies were or will be corrected. <br />3. Comments: <br />Page 5 of 6 03/01 <br />