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t, <br /> F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> J 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-25perform leak detection monitoring. <br /> s' <br /> Co lete tltefollowin cheeklistt <br /> ❑ Yes ❑ No* Has all input wiring been inspected toper entry and termimumn,including crating for ground fauhs? <br /> ❑ Yes j ❑ No* I Were all tank gaaging prob welly inspected for damage and residue buildup? <br /> D Yes ❑ No* Was accuracy ofsyspi product level readings tested? <br /> ❑ Yes ❑ No* Was accu ac system water level readings tested? <br /> ❑ Yes ❑ No* Were probes reinstalled properly? <br /> Q Yes ❑ No* ere all items on the equipment manufacturer's maintenance checklist completed? <br /> "In the Secu below,describe how and when these deficiencies were or wits be corrected. <br /> C. ' e Leak Detectors(LLQ): ❑ Check this box if LLDs;are not installed. <br /> -Complete the followingchecklist: <br /> Q-Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all alma apply) Simulated leak rate:�.p.h 0 0.1 g p.h: R 0.2 g.p.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory mgttirements? <br /> Yes ❑ No" Was the testing apparaws properly calibrated? <br /> 'es ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> O Yes 0 No` For electronic L L.Ds,does the turbine automatically shut off if the LLD detects a leak? <br /> O NIA <br /> Cl Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> Q N(A. I of dtucotmactect? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any portion of the ntonituring system malfunctions <br /> 0 N/A or fails a test? <br /> i <br /> ❑ Yes ❑ No* For electronic LLDs.have all accessible wiring connections been visually inspected? <br /> Q NIA <br /> 'Yes ❑ No* Were all items on the etpripment manufacturer's maintenance checklist completed? <br /> a In the Section H,below,describe"NN wad wben these defideoeiet were or will be correcte& <br /> H. Comments; <br /> Page 3 of 3 - t)3fP1 <br />