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F. In-Tank Gauging/SIR Equipment: heck 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 pe f0r1eak detection monitoring. <br /> Complete the fo lowing checklist: <br /> Rfl* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> * Were all tank gauging probes visually inspected for damage and residue buildup? <br /> * Was accuracy of system product level readings tested? <br /> * Was accuracy of system water level readings tested? <br /> * Were all probes reinstalled properly? <br /> ❑ 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): 'Check this box if LLDs are not installed. <br /> Coin lete the follo ving checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check 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 LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes Cl No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> CI Yes- ❑ No* For electronic LLDs, does the turbine automatically shut off if any 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 portion of the monitoring system malfunctions <br /> ❑ NIA or fails a test? - <br /> ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> ❑ N/A <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below,describe hove and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> .1�� •.u� � P . f � r r <br /> Page 3 of 3 oroi <br />