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• 0 <br /> F. In-Tank Gauging I SIR Equipment: 0 Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauginv or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is use erPorm leak detection monitoring. <br /> C fete the followin checklist: <br /> ❑ Yes Q No- Has all input wiring been inspected for per entry and termination,including testing for ground faults? <br /> D Yes I D Noy I Were all tank gaagmg probes vipzffiy inspected fordamage and residue btdldup? <br /> D Yes D NoY Was accuracy of system pEdauct level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of syeern water level readings tested? <br /> 11 Yes ❑ Nor Were all ppbft reinstalled properly? <br /> D Yes LI No' Were items on We equipment manufacturer's maintenance checklist completed? <br /> a in the se=akDeteaors <br /> ow,describe how and when these deficiencies were or win be corrected. <br /> G. Line (LLD): ❑ Check this box if LLDs are not installed. <br /> Com le the following checklist: <br /> es D No* For equipment start-up or annual equipment certification, was a leak simulated to verify I.LD performance? <br /> O NIA (Check all altar apply) Simulared leak rate:,%eg_p-hD 0.t g ph: D U g p h. <br /> Yes ❑ No* Were all LLDs omfirmed operational and accurate within regulatory requirements" <br /> ❑ Nem Was the testing apparatus properly calibrated? <br /> Yes ❑ Ne For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> ❑ Yes u7 Nor For electronic LLAs,does the turbine automatically shut offif the LLD detects a leak? <br /> ❑ NIA <br /> ❑ Yes ❑ No' For electronic LLDs,rites the turbine automatically shun off if any portion of the monitoring system is disabled <br /> a NIA or diwuanected? <br /> D Yes D No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> D NIA or fails a test? <br /> Q Yes ❑ No* For electronic LLDs,have all accessible wiring connections been vitmally inspected? <br /> ❑ NIA <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 /> H. Comments: <br /> Page 3 of 3 03/07 <br />