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1. Ian-'yank Gnu ging/SIR Equipment; 91 Check this box if tank gauging is used only for inventor]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 leak detection monitoring. <br /> Corn lets the followin 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 gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes �No Were allprobes reinstalled properly? <br /> ❑ Yes Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *in the Section tri, below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com fete the <br /> following checklist: <br /> r s ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Simulated leak rate:, 'g.p.h.; 0.1 g.p.h; 0.2 g.p.h. <br /> ❑ Yes lam' a1El <br /> o* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> 0 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 /> ❑ NIA <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> W N/A <br /> ❑ Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ,a NIA or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut ofd'if any portion of the monitoring system malfunctions <br /> „® N/A or fails a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> NIA <br /> Yes 113 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 /> H. Comments: -��r 1C 'r# _� �' � �;; A 1,��sZ, I Pe— V- <br /> __ <br /> • <br /> 71,o ) ic k iV o`o'r 4'iy.v� ECA ►/3OC. ter 4 d <br /> Page 3 of 3 03/01 <br />