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F. In-Tank Gauging /SI :quipment: Check this b,,., If tank gauging is used only for inventory cc <br /> _/ucheck this box if no tank.gauging or SIR equipment is insu <br /> This section must be completed if in-tank gauging equipment is used to perforin leak detection monitoring. <br /> Com fete the rollo Ing checklist: <br /> C1 Yes— �Io" Has all input wiring been inspected for proper p l try and termination, Including testing for ground faults? <br /> ❑ Yes O No* Were all t c gau ' tabesisua <br /> ❑ Yes 0 No* Was accuracy of system product�eYe]tea . cted for damage and �sidue-but}dip? <br /> ested? <br /> O Yes 0 No* Was acc�unacy-of-s s em water level readings tested? <br /> Yes Q.No*�—Were all probes reinstalled properly? <br /> ❑`Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> " In Inc 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 followin checklist: <br /> ❑ Yes No For equipment start-up or annual equipment -„ification, was a leak simulated to verify LLD erformaz <br /> C] N/A (Check all that apply) Simulated leak rate:' g.p.h.; ❑ 0.l g.p.h ; ❑ 0 2 h. p <br /> g•p <br /> Yes C3 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes Q No* Was the testing apparatus properly calibrated? <br /> --- <br /> Cl Yes 13 NO For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> es ❑�No* For electronic LLDs, does the turbine automatically s <br /> O N/A hut off if the LLD detects a leak? <br /> Yes ❑ No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disa <br /> 17 WA or disconnected? N <br /> Yes ❑ No* For electronic LLDs, does the. turbine automatically shut off if any portion of the monit <br /> Q WA malfunctions or fails a test? onng syste <br /> Yes 0 WA No* 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 a Section H, below, describe how and when these defncie�cies were or will be corrected. <br /> H. Comments: <br /> ' osroi <br />