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Mow <br /> F. In-Tank Gauging/SIR Equipment: ❑<fieck this box if tank gauging is used only for inventory control. <br /> ❑ 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 /> Cornakde the following checklist: <br /> ❑ Yes "' l las all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> ❑ Yes ❑ No* Were al n robes visually inspected for damage and residue buildup? <br /> ❑ Yes Cl No* Was accuracy of system pro uc ev ested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> ❑-Yes. ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> " In tits Section H,below,describe how and when these deficiencies were or will be corrected. <br /> G., Line Leak Detectors(LLD): ❑ bee this b x if LL are not" stalled. <br /> Com Tete the following checklist: <br /> ❑ Yes El " Forequipment slam-up or annual equipment certification, w• a leak simulated to verify LLD performance? <br /> ❑ N/A heck all that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g-p.h. <br /> ❑ Yes ❑ No* Were all L confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No* Was the testing app properly calibrated? <br /> ❑ Yes ❑ No* For mechanical LLDs,does LD rastrict product flow if it detects a Icak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbineau tically shut off if the LLD detects a leak? <br /> 13 N/A <br /> ❑ Yes ❑ No' For electronic LLDs, does the turbine automatically off if city portion of the monitoring system is disabled <br /> ❑ N/A or disconnected? <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if any 'on of the monitoring system malfunctions <br /> ❑ N/A or Mils a test? <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspec ? <br /> ❑ NIA <br /> ❑ Yes ❑ No* Were all items on die 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 03/01 <br />