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F. In-Tank Gauging/SIR Equipment: ❑ Check this box if tank gauging is used only for inventory control. <br /> Check this boxAif no tank gauging or SIR equipment is installed. <br /> T'nis section must be completed if in-tank gauging equipment is used to per-form leak detection monitoring. <br /> Cogyjllete the following checklist_ <br /> "Os D No* Has all input wiring been inspected for proper entry and termination.,including testing for ground faults'. <br /> f. <br /> Er yes ❑ No* � Were all tank gauging probes visually inspected for damage and residue buildup? II <br /> yes I ❑ Nol` Was accuracy of system product level readings tested? <br /> ❑'Yes ❑ No* Was accuracy of system water level readings tested? <br /> J"Yes D No* I Were all probes reinstalled properly? i <br /> Yes D 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 /> ❑ 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 /> ! 1 <br /> ❑ Yes ❑ No* Were all LLDs confirmed operational and accurate within regulaton,requirements^ <br /> ❑ Yes ❑ No* Was the testing apparatus properly,calibrated? <br /> ❑ Yes D No* For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> F_ZI <br /> Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> i <br /> N/A <br /> /A❑ <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut ori'if any portion of the monitoring system is disabled <br /> ❑ N/A or disconnected? <br /> ❑ Yes ` ❑ No* For electronic LLDs,does the nubine automatically shut off if any portion of the monitoring system malfunctions <br /> I ❑ N/A or fails a test? <br /> ❑ Yes j ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected <br /> ❑ N/A <br /> i ❑ Yes ❑ No' Were all items on the equipment manufacturer's maintenance checklist completed.' <br /> In the Section K below,describe how and when these deficiencies were or will be corrected. <br /> H. Comments <br /> Page 3 of 3 03/07 <br />