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F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tanking 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 /> Complete 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 Q. No* Was accuracy of system product level readings tested? <br /> ❑ Yes 0 No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ No* Were all probes reinstalled properly? <br /> it ❑ Yes I ❑ 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 /> Com tete the folia ing checklist: <br /> ❑ Yes ❑ No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> ❑ NIA (Check all that apply) Simulated leak rate: 9,3 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 I ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes 5-No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> if Yes No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ N/A <br /> ❑ Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> ❑ N/A ordisccnnected? <br /> ❑ Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> ❑ N/A 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 how and when these deficiencies were or will be corrected. <br /> H. Comments: $`( V107 Fgr'(eJ1-- e-LO 0`5- SnySZ4!/ed 4- <br /> 9- <br /> �Qr7iFicc� 40 <br /> 7 <br /> Page 3 of 3 03/01 <br />