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Site Address: Date of Testing/Servicing: _ <br /> F. In-Tank Gauging / SIR Equipment: ❑ Check 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 /> 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 /> es ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> es ❑ No* Was accuracy of system product level readings tested? <br /> /yes ❑ No* Was accuracy of system water level readings tested? <br /> Yes ❑ No* Were all probes reinstalled properly? <br /> p 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): ❑ Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ro* For equipment start-up or annual equipment mortification, was a leak simulated to verify LLD performance?/A (Check all that apply) Simulated leak rate: 2f 3 g.p.h.r; ❑0.1 g.p.h.'; ❑0.2 g.p.h.' <br /> Notes: 1. Required for equipment start-up certification and annual certification. <br /> 2. Unless mandated by local agency,certification required only for electronic LLD start-up. <br /> es ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> EJ }res ❑ No* Was the testing apparatus properly calibrated? <br /> EY Yes ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes 0,,No* For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br /> [( N/A <br /> ❑ Yes ❑Ifo* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> p N/A or disconnected? <br /> L ❑�No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system <br /> N/A malfunctions or fails a test? <br /> ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> " In the Section%below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3"of 3 03/01 <br />