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�. In-Tank Ganging /SIR FtIViirment: u Check this box if 1`ank ganging is used only for inventory control. <br /> U Check this hnx if mo tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to,perfomt leak detection monitoring. <br /> Complete the following checklist: <br /> O Yes O No' Has all input wiring been inspected for proper entry and termination, including testing for ground d 7 <br /> Yes ❑ No* Were all tank gauging probes visunlly inspected for damage and residue buildup? <br /> Yes Cl No' Was accuracy of system product Icvel readings tested? <br /> O Yes ❑ No" Was accuracy of system waterlevel readings tested? <br /> O Yes ❑ No• Were all probes reinstalled properly7 <br /> O Yes ❑ No` Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In the Section It, below, describe how and when these deficiencies were or will he corrected. <br /> G. Line Leak Detectors (LI,D): U r lurk this box if I IM me 11,11 1110nlled. <br /> Co ate the following checklist: <br /> IX-Yet 1 O No' For equipment atart-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> O N/A (Check all that apply) Simulated leak rate: G113 g.p.h.; Cl 0.1 g.p.h; ❑0.2 g.p.h. <br /> O Y0-No* Were all LLDs con-umed operational and accurate within regulatory requirements? <br /> Yet O No' Was the testing apparatus properly calibrated? <br /> Yet No' For mechanical LLD9, does the LLD restrict product flow if it detects a leak? <br /> O N/A <br /> O Yes O No' For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> G-WA <br /> O Ya O No' For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> G-WA or disconnected? <br /> O Yes O No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> 0--NI-A malfunctions or fails a test? <br /> O Yes O No' For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> G- A- <br /> Yet O No* Were all items on the equipmem 11tanufacturer's maintenance checklist completed? <br /> •In the Section H, below, describe how and molten (hese deficiencies were or will be corrected. <br /> H. Comments: p a4,0r 101 17 _,Le6W1r_ �,O <br /> rage { of 3 93061 <br />