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l]LLcrAUU1CSS: <br /> Date of Testing/Servicing: <br /> In-Tank Gaugintr/SIR Equi �t; <br /> pf VCheck this box if tank P-111,1,1,ing is used only for inventory control. <br /> �Q Check this box if no tank gaubing or SIR equipment is installed. <br /> This section must be completed if ill-latak ganging egttipnietit is used to pei-form leak detection monitor' <br /> zng. <br /> Complete the following checklist: <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> ❑ Yes ❑ No* Were all tank gaubing probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes '13 No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> ❑ 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 werc or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following clieciclist: <br /> Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: ❑ 3h.; ❑ Q.1 <br /> g•p• 9-p-h . ❑ 0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs.confirmed operational and accurate within regulatory requirements? <br /> s Yes ❑ No* Was the testing apparatus properly calibrated? <br /> Yes ❑ No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> N/A or disconnected? <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> N/A malfunctions or fails a test? <br /> ] Yes d No* For electronic LLDs, have all accessible wiring <br /> connections been visually inspected? <br /> N/A <br /> 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 /> ti. Comments: <br /> f <br />