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F.In-Tank Gauging/SIR Equipment r Check this box if tank gauging Is used o ly forinventory control <br /> r 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. F LL: 17 2015 <br /> Complete the following checklist: <br /> • Yes No- as all input wiring been inspected for proper entry and termination,Including testing for ground faults? <br /> • Yes No- ere all tank gauging probes visually Inspected for damage and residue buildup? <br /> • Yes No- as accuracy of system product level readings tested? <br /> • Yes No- as accuracy of system water level readings tested? <br /> • yes No- ere all probes reinstalled properly? <br /> + Yes s' No• ere 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): r Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Yes No. or equipment start-up or annual equipment certifcetion was a leak simulated to verify LLD pertormance?(Check all that <br /> C N/A pply)Simulated leak rate:r'3 g.p.h.; r0.1 g.p.h; 0.2 g.p.h. <br /> •: Yes No* ere all LLDs confirmed operational and accurate within regulatory requirements? <br /> • Yes No- as the testing apparatus properly calibrated? <br /> • Yes C No* or mechanical LLDs,does the LLD restrict product Row if It detects a leak? <br /> N/A <br /> Yes No- or electronic LLDs,does the on m <br /> bine autoatically shutff if othe LLD detects a leak? <br /> !: N/A <br /> Yes No- or electronic LLDs that are programed for positive shut down,does the Nrbine automatkally shut off if any portion of the <br /> m <br /> onitoring system Is disabled or disconnected? <br /> • N/A <br /> Yes No' oreleNonic LLDs that are programmed for positive shut down,tloes the turbine au[oma[icelly shut off If any portion of the <br /> malfunctions system malfunons or fails a test? <br /> • <br /> ,., Yes No' or elechonic LLDs,have all aceessible wiring connections been visually inspected? <br /> R N/A <br /> r Yes No- ere 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 /> F <br /> mss <br /> : -1 <br /> Page 3 of 3 <br /> 12/07 <br />