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F. In-Tank Gauging/ SIR EquipVent: Check this box if tank g*eging 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 monitoring. <br /> Co tete the following checklist: a <br /> Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> Ef Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> s Ll No* Was accuracy of system product'level readings tested? <br /> s Ll No* Was accuracy of system water level readings tested? <br /> .YeAl Yes ❑ No* Were all probes reinstalled properly? <br /> Ef Yes ❑ No* Were 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): ❑ Check this box if LLDs are not installed. <br /> Co tete the Ilowin checklist: <br /> Yes Z No* For equipment start-up or annual equipmentceftification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate:.3 3 g.p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. <br /> Fs ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 13 No* Was the testing apparatus properly calibrated? <br /> ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> O N/A <br /> ❑ Yes ❑ o* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> fel N/A <br /> ❑ Yes ❑ )f'o* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Ur N/A or disconnected? <br /> ❑ Yes ❑ o* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> El N/A or fails a test? <br /> ❑ Ye ❑ o* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> }a N/A <br /> Yes 113 No* Were 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 /> H. Comments <br /> Page 3 of 3 03/01 <br />