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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 /> Complete the following checklist: <br /> IJ'YP_ Nn* i-T�c all .ntn,�t iannnb he�.a,."; .. <br /> ^yam^..ed for ' <br /> ' r prvp%.r Cnii y aIIu ictTfiivaiiGil,LUC'luding XStlllg for ground faults! <br /> es ❑ 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 /> C161—s ❑ No* Was accuracy of system water level readings tested? <br /> ff 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 /> Com to the following checklist: <br /> es ❑ No* For equipment start-up or annual equipment ce�kation, was a leak simulated to verify LLD performance? <br /> ❑ N/A (Check all that apply) Simulated leak rate: a3 g.p.h.; ❑0.1 g.p.h; ❑0.2 g.p.h. <br /> Y CJ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Y ❑ 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 j ❑_ Io* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> j Lf N/A <br /> ❑ Yes ❑ >6* For elecnorlic LLDs,does the turbine automatically shut off if any portion of the monitoring systemlis disabled <br /> N/A or disconnected? <br /> nic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> Cl Yes ❑ado* For electro <br /> p'N/A or fails a test? <br /> ❑ Yes ❑ o* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> CT N/A <br /> Yes I ❑ 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: <br /> Page 3 of 3 <br /> 03101 <br />