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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 Slit equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perforin leak detection monitoring. <br /> Cont lete the folio ing checklists <br /> 0 Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Cx.l Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> C1x Yes ❑ No* Was accuracy of system product level readings tested? <br /> Q Yes ❑ No* Was accuracy of system water level readings tested? <br /> 0 Yes ❑ No* I Were all probes reinstalled properly? <br /> [x�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 /> G. Line Leak Detectors(LLD): x Check this box if LLDs are not installed. <br /> Cam lete the follo ing checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check ali that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h; ❑ 0.2 g.p.h. <br /> ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ Na* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does the LLD restrict product flour if it detects a leak? <br /> N/A <br /> ❑ Yes ❑ No* For electronic LLD9,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ NIA <br /> ❑ Yes 0 No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ NIA or discormected? <br /> 13 Yes ❑ No's For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ NIA or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> Ll N/A <br /> ❑ Yes ❑ No* Were all items on the equipment Ynanufacturer's maintenance checklist completed? <br /> *In the Section EI,below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03101 t <br /> f <br /> i <br />