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F. In-Tank Gauging 1 SIR EquipmeLe <br /> 0 Check this box if tank gagging is used only for inventory control. <br /> n Check this box if no tank gauging or SIR equipment is installed. <br /> . his section must be completed if in tank gauging equipment is used to perform leak detection monitoring <br /> Yes 0 NEPH all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> ®yes 0 NO ere all tank-gauging probes visually inspected for damage and residue buildup? <br /> ®yes 0 No* as accuracy of system product level readings tested? <br /> Yes []No* Was accuracy of system water level readings tested? <br /> f$J Yes ONO* Were all probes reinstalled properly? <br /> 51 Yes 0 No* Were all Items on the equipment manufacturefs maintenance checklist completed? <br /> G. Line Leak Detectors(LLD): ®'Check this box if Leak Detectors are not installed. <br /> Complete the following checklist: <br /> Eo* <br /> NIA or equipment start-up or annual equipment certification was a leak simulated to verify LLD performance? <br /> (Check all that apply)Simulated leak rale: 0 3.0 GPH; 0 0.2 GPH; 0 0.1 GPH <br /> No* ere all LLDs confirmed operational and accurate within regulatory requirements? <br /> No* Was the testing apparatus property calibrated? <br /> 3 <br /> 0 Yes ❑NIA <br /> 0 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑Yes ❑NIA For electronic LLDs,does the turbine automatically shut off 0 the LLD detects a leak? <br /> 0 No* <br /> 0 Yes 0 N/A For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 No* r disconnected? <br /> []Yes []N/A or electronic LLDs,does the turbine automatically shut off it any portion of the monitoring system malfunctions or fails a <br /> No est? <br /> t]Yes ❑N/A For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> N o* <br /> 0 Yes No* were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In section H below,describe how and when these deficiencies were or will be corrected: <br /> H.Comments: <br /> 'nitoring System Certification Page 3 of 3 3101 <br />