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F. Ise -Tank Gauging / SIR Equipment. /6, Check this box if tank gauging is used only for inventor j control. <br />❑ Check this box if no tank gauging or SIR equipment is iilsiallerl. <br />This section must be completed if in -tank gauging equipment is used to perfornl leak detection monitoring. <br />Cmmnlete the fallowinsr c pewief. ,or <br />❑ Yes <br />❑ <br />No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />Ll Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />❑ Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? <br />❑ Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />❑ Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />.., ..— va.a..,- aa, vw.vvv, V5U1 iuc uuW HIM WnCn LUMU uCijejencles were or will be corrected. <br />G. Lane Leak Detectors (LLD): <br />Comnlete the following checklist - <br />El Check this box if LLDs are not installed. <br />Yes <br />❑ No* <br />❑ N/A <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: J 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.b. <br />Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ No* <br />Was the testing apparatus properly calibrated?_. <br />Yes <br />❑ No* <br />❑ N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />Q Yes <br />❑ No* <br /># N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />U Yes <br />❑ No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off, if any portion of the monitoring system malfunctions <br />or fails a test? <br />❑ Yes <br />2 No* <br />N/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Lt] Yes I <br />❑ No* I <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section H. <br />below, descrihe hnw and when these u- ------ 4-A <br />H. Comments: <br />y UO3 of 3 <br />