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LV F. In-Tank Gauging/SIR L'v-ipment: U7 C;heck this box if'-mak gauging is used only for inventory control. <br /> ❑ Check this box i_ ank gauging or SITZ equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Com lete the Ifollowiner checklist: <br /> ❑ Yes ❑ Ng* Has all input wiring been inspected for proper entry and termination, includingtestingfor <br /> ❑ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildp? ground faults. <br /> ❑ Yes ❑ 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 /> ❑ Yes ❑ No* Were ali�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 lete the folio ing checklist: <br /> es ❑ No* For equipment start-up or annual equipment certif�i t�'on, was a leak simulated to verify LLD performance? <br /> E3 N/A (Check all that apply) Simulated leak rate: �p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. <br /> Ye No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> yes O No* Was the testing apparatus properly calibrated? <br /> Yes No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> ❑ N/A <br /> ❑ Yes ❑ N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> ❑ Yes ❑ N * For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> /A or disconnected? <br /> ❑ Yes ❑ N * 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 N/A For electronic LLDs,have all accessible wiring connections been visually inspected? <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: w Cteh �4- <br /> .I— <br /> to 914 <br /> Page 3 of 3 <br /> 03101 <br />