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F. In-Tank Gauging / SIR E#111ent: eck this box Ask gauging is used only for inventory control. <br /> XU Check this box `rf 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 /> 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 L1 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 reading's tested? <br /> L <br /> Yes ClNo* 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 were or will be corrected. <br /> G. Line Leak Detectors (LLD): LJ Check this box if LLDs are not installed. <br /> Complete the following checklist:' <br /> ❑ Yes El No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> El N/A (Check all 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 ❑ 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 /> ❑ N/A <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> NIA 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 ❑ No* For electronic LLDs, have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ❑ Yes ❑ No* Were all items on the equipnieiit inanufacturcr's maintenance checklist completed? <br /> *;In the Section H, below, describe how and when these deficiencies were or will be corrected. <br /> H. Comments: /. K ,Z) e%ek r f A) P`1.4 C r� <br /> D1a1A1r_, A14_r 1Ua -ire,-r PA iAj? <br /> Page 3 of 3 43�Ut <br />