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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 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 /> Co Tete the following checklist: <br /> CVAs ❑ No* Has A input wiring been inspected for proper entry and termination,including testing for ground faults? it <br /> es ' ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? ! <br /> es ❑ No* Was accuracy of system product level readings tested? <br /> es ❑ No* Was accuracy of system water level readings tested? <br /> es ❑ No* Were all probes reinstalled properly? l <br /> Yes ❑ No* Were ail 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 /> G_ Line Leak Detectors (LLD): C3 Check his box if LLDs are not installed. <br /> CgAhplete the following checklisL- <br /> 21 <br /> Yes ❑ No* ` For equipment start-up or annual equipment cation, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak:rate: Gr3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> es ❑ No* ' Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> ❑ No* IWas the testing apparatus properly calibrated? <br /> Ul"Yes jE3 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> ❑ Yeso" For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak?NIA <br /> ❑ Yes ❑ Xo* For electronic LLDs,does the turbine automatically shut off'u'any portion of the monitoring system is disabled � <br /> U N/A or disconnected? <br /> ❑ Yes ❑ o* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> V N/A or fails a test? <br /> ❑ Yes ❑/No* For electronic LLDs,have all accessible wiring connections been visually inspected? f <br /> 11 N/A <br /> FY 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 /> FL Comments: <br /> Page 3 of 3 03101 <br />