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' �-Tank G:itibin�/ SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> F, Ip Check this box if no tank gauging or SIR equipment is installed. <br /> 1 <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Co tete the followine checklist: <br /> ❑' UWas <br /> ll input wiring been inspected for proper entryand termination, including testing foraund faults?ail tank gauging probes visually inspected for damage and residue buildup? <br /> ccuracy of system product level readings tested? <br /> es ccuracy of system water level.readings tested? <br /> es all probes reinstalled properly? <br /> Yes all items on the equipment manufacturer's maintenance checklist completed? <br /> * <br /> In the Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br /> Com fete the follor ing checklist: <br /> "es ❑ No* For equipment start-up or annual equipment rtification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Simulated leak rate: U 3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> LY No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y ❑ No* Was the testing apparatus properly calibrated? <br /> s <br /> Yes ❑ Na* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ NIA <br /> Yes * For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> CrNIA <br /> © Yes ❑, d'o* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> U� N/A or disconnected? <br /> LQ 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 /> ❑ o* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> UNIA <br /> fp No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> * In the Section H,below,describe flow and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 It3/til <br />