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0 <br />F. In -Tank Gauging / SIR Equipment: <br />This section must be completed if in -tank gauging equipment is <br />Complete the following checklist: <br />0 <br />HEGE! VED <br />r Check this box if tank gauging is used only for inventory control. <br />r Check this box if no tank gauging or SIR equipment is instfeEB 2 3 2016 <br />perform leak detection monitoring. <br />ENVIRONMENTAL <br />k.1C®ITu nCOARTGACNIT <br />• Yes <br />117 No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />• Yes <br />(' No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />• Yes <br />No* <br />Was accuracy of system product level readings tested? <br />• Yes <br />No* <br />Was accuracy of system water level leadings tested? <br />• Yes <br />No* <br />Were all probes reinstalled properkyl <br />• Yes <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />w u6 xlumi H, w, UCbllibe nVw dnu when chase <br />G. Line Leak Detectors (LLD): <br />Complete the following checklist: <br />were or win oe correma. <br />r Check this box if LLDs are not installed. <br />• Yes <br />No* <br />or equipment start-up or annual eq ipment certification was a leak simulated to verify LLD performance? (Check all that <br />apply) Simulated leak 3 r o.1 i" <br />N/A <br />rater g.p..; g.p.h; 0.2 g.p.h. <br />• Yes <br />No* <br />Nere all LLDs confirmed operational and accurate within regulatory requirements? <br />• Yes <br />No* <br />Alas the testing apparatus properly c Abrated? <br />Yes <br />No* <br />r mechanical LLDs, does the LLD restrict product Flow if it detects a leak? <br />• N/A <br />• Yes <br />(- No* <br />For electronic LLDs, does the turbine <br />automatically shut off if the LLD detects a leak? <br />f N/A <br />• Yes <br />r No*For <br />electronic LLDs that are programmed <br />for positive shut down, does the turbine automatically shut off if any portion of the <br />onitoring system is disabled or dis <br />nnected? <br />N/A <br />• Yes <br />r No* <br />iForelectronic LLDs that are program' <br />ed for positive shut down, does the turbine automatically shut off if any portion of the <br />N/A <br />onitoring system malfunctions or fails <br />a test? <br />• Yes <br />r No* <br />For electronic LLDs, have all accessible <br />wiring connections been visually inspected? <br />N/A <br />• Yes <br />r No* <br />Were all items on the equipment manufacturers <br />maintenance checklist completed? <br />