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F. In-Tank Gauging/SIR Equipment: x Check this box if tank gauging 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 Ieak detection monitoring. <br /> Com lete the following checklist: <br /> Q Yes ❑ No* Has all input}wing been inspected for proper entry and termination,including testing for ground faults"? <br /> El Yes ❑ No Were all tank gauging probes visually inspected for damage and residue buildup? <br /> 0 Yes ❑ No Was accuracy of system product level readings tested? <br /> D Yes ❑ No* Was accuracy of system water level readings tested? <br /> 0 Yes ❑ No* Were all probes reinstalled properly'! <br /> Q 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): x Check this box if LLDs are not installed. <br /> Com lete the foll ving checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? `III <br /> ❑ NIA (Check all that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.l g.p.h a ❑0.2 g•p•h. <br /> ❑ Yes ❑ Na* Were all LLDs eonf=ed operational and accurate within regulatory requirements? ; <br /> LJ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLI)s,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> LJ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ 1 <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine antomatically shut off if any portion of the monitoring system malfiinetions <br /> ❑ NIA or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ NIA <br /> ❑ Yes ❑ No* I 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 /> d <br /> Page 3 of 3 03/01 <br />