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F. In-Tank Gauging/SIR Egaaipvaent: ❑ 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 /> Complete the follo ing 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 ❑ 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 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 /> Co to the fo owin checklist: <br /> 12rYes No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Ll N/A (Check all that apply) Simulated leak rate: W1'3 g.p.h.; ❑ 0.1 g.p.h; ❑0.2 g.p.h. <br /> Jd Yes LJ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes ❑ No* Was the testing apparatus properly calibrated? <br /> ❑ Yes ❑ * For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> 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/Aor disconnected? <br /> Yes LlNo* 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: % 4` 7Z S oolo N J,6n W,e,e a4z) <br /> �.ss <br /> ��fiJ�l%D S� Ste!��^� �/�T �r�i27 �,a�,J ✓EY ���Ft�-�� <br /> 7-0 Q ✓E �E�D !�F JET sF/Fid AeU aFF L Co " i-D ry o 7 <br /> — ,ermo ✓c Go w 4�i2 Poi2Tio N aG �/E7 ore �E�'�c / T <br /> nWIL) Tu,ea aAE �E,�D <br /> foams MAf'/f lu�$!►'1�� <br /> Page 3 of 3 03101 <br />