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F.In-Tank Gauging/SIR Equipment: r Check this box if tank gauging is used only for inventory 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. <br /> Complete the following checklist: <br /> C Yes r No* Im <br /> =gaugingpmbes <br /> g been inspected for proper entry and termination,Including testing for ground faults? <br /> r Yes T No* ging probes visually inspected for damage and residue buildup? <br /> 0 Yes <' No* system product level readings tested? <br /> Yes r No* system water level readings tested? <br /> I« Yes No* einstalled properly?r Yes !'.` No* 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 r No* or equipment start-up or annual equipment certification was a leak simulated to verify LLD performance?(Check all that <br /> r, N/A apply)Simulated leak rate:r 3 g.p.h.; r 0.1 g.p.h; 1..10.2 g.p.h. <br /> r Yes r No* Nem all LLDs confirmed operational and accurate within regulatory requirements? <br /> IT- Yes r No* Nas the testing apparatus properly calibrated? <br /> r Yes F No* or mechanical LLDs,does the LLD restrict product Flow If it detects a leak? <br /> r. N/A <br /> C Yes r No* or electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> (0 N/A <br /> Yes r No* r electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> C. N/A <br /> r Yes C No* or electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> IT N/A <br /> r Yes r No* r electronic LLDs,have all accessible wiring connections been visually Inspected? <br /> (: N/A <br /> f: Yes G 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 /> H. Comments: <br /> Page 3 of 3 12/07 <br />