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►+. In-Tallk Gauging /SIR E4111 wni: U Check this box if'[ ranging is used only for inventor,�_Iontcol. <br /> U ( hvck this hox if no tank gauging or SIR equipment is installed' <br /> This section Itntst he c+tnll►Iciccl it-in lank I;auk;inf; ctluil►nlrnl iS used to IM-firrnl leak detection monitoring. <br /> Complete the following checklist: <br /> O Yes ❑ No* Has all input wiring; been insl+ected for proper cnny and ternnination, including testing for ground faults? <br /> O Yes ❑ No* Were all Intik gauging;ptotic. visually inspected lirr clmmng a and rt siduc buildup? <br /> O Yes U No* Was accuracy of systern l)toduc.t levcl rcadiuf,s tested'? -- - -- - <br /> ❑ Yes L1 No* Was accuracy of systern water level readings lested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> 0 Yes ❑ No* Were all items oil the equipment nrnnufichnrer's maintenance checklist completed? <br /> ------ - - - - __..._-- ------------ --- <br /> * In the Section II,below,describe hory ni►d when Ihese deliciencies were or will Ile corrected. <br /> G. 1,1110 Lealt Dellectovs (1.1.1)): U 1 'lurk Ilri^. Ini.r it 1.1.1►s :uc nol insl:ill:•4I. <br /> Complete the following checiclist: _ ... <br /> es O No* For cquipn►cut slat(- ill or mnurnl ecfuiliment ct-oilication, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that al►1►1)) Sinurlatcd leak rile: ll g;.p.h.; U 0.1 g.p.h ; U 0.2 g.p.11. <br /> es 13No* Were all LLDs confirnncd operatinnal and accurale within regulatory requirennentsT <br /> es ❑ No* Was the testing apparatus properly calihrntcd'l <br /> es U No* For mechanical LLDS, does the 1.1.1) restrict prodcnct flow if it detects a leak7 <br /> ❑ N/A <br /> ] Yes �U Ngo* For electronie LIDS, docs the Inlhine ati(omatically shut off if the LLD detects a leak? <br /> I Yes ❑ No* For electronic LIMS, docs the turbioe autonnatically shut off'if any portion of the monitoring system is disabled <br /> Gr d/A or disconnected? <br /> I Yes O No* For electronic LIDS, docs the turl,inr, auttnnalically slnrt off if any portion of the monitoring system <br /> �/p malfunctions or fails a Icsl'� <br /> I Yes U No* For electronic LLI)s, have all accessible wiring connections been visually inspected? <br /> Ea N/A <br /> Yes U No* Were all items on the equilmleill rnannfacttiter's nnairlteunulce checklist completed'l <br /> In the Section 11, below,describe how and when Ihese deficiencies were or will be corrected. <br /> Comments: _-- <br /> Page 7 03/01 <br />