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F. In-Tank Gauging/SM Equipment: Z Check this box if tattle gauging is used only for inventory control. <br /> 0 Check this box if no tank gauging or SIR egoipTnent is installed. . <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection. monitoring. <br /> Com tete the following checklist.. <br /> ❑ Yes ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for.ground faults? <br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> ❑ Yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes 0 No* Was accuracy of system water level readings tested? <br /> Cd Yes ❑ No* Were all probes reinstalled properly? <br /> a 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 /> G. Line Leak Detectors (LLD): 0 Check this box if LLDs are not installed. <br /> Com fete the following checklists <br /> vT—Yes 0 No* For equipment start-up or annual equipment ceoificafdon, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check A that apply) Simulated leak rate: d3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g-p.h. f <br /> cr Yes © No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> es 0 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes Q * For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> O1 NIA <br /> 0 Yes L1 N * For electronic LLD&does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> [ NIA or disconnected? <br /> ❑ Yes ❑ NO For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> 2"-N/A or fails a test? <br /> 0 Yes O For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> CT NIA <br /> Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section 11„below,describe how and when these deficiencies were or will he corrected. <br /> H. Comments: <br /> Page 3 of 3 03101 <br />