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F.In-Tank Gauging/SIR Equipment: <br /> X❑ Check this box if tank gauging is used only for inventory control. <br /> ❑ Check this box if no Link 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 /> Complete the followin checklist _ <br /> P ❑No* Has all input wiring been inspected for properentry and termination,including testing for ground faults? <br /> ❑No* Were all tank gauging probes visually inspected for damageand residue buildup? <br /> ❑No* Was accuracy of system product level readings tested? <br /> ❑No* Was accuracy of system water level readings tested? <br /> ❑No* Were all probes reinstalled properly? <br /> ❑Yes ❑No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> *In the Section H,below describe howand when these deficiencies were or will be corrected. <br /> G.Line Leak Detectors(LLD): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑X YesHEINO <br /> For equipment start-up or annual equipment certification,was a leak simulated to ved fy LLD performance?(Check <br /> i all that apply)Simulated leak rate: Q 3gp.h; ❑0.1 g.p.h;❑02 g.p.h. <br /> ❑X YesWere all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑X YesWas the testing apparatus properly calibrated? <br /> YesFor mechanical LLDs,does the LLD restrict product flow ifit detects a leak'? <br /> ❑Yesor electronic LLDs,does the turbine automatically shut off i fthe LLD detects a leak? <br /> ❑Yes ❑No* For electronic LLDs,does the turbine automatically shut off i fany portion of the monitoring system is disabled or <br /> ®N/A disconnected? <br /> ❑Yes ❑No* For electronic LLDs,does the turbine automatically shut off ifany portion of the monitoring system malfunctions or <br /> ©N/A fai Is a test? <br /> ❑Yes [:1 No* Forelectronie LLDs,have all accessiblewidng connections been visually inspected'? <br /> ❑X N/A <br /> ❑X Yes ❑No* Were all items on the equi pment manufacturer's maintenance checklist completed? <br /> *In theSedion 11,below,describe how and when these deficiencies we re or wig be corrected <br /> H. Comments: <br /> Ilff��JJ r <br /> 7 �', Z <br /> I vtt <br /> CSC 2 12016 <br />