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0 <br />F. In -Tank Gauging / IR Equipment- Check this box if twik gauging is used only for inventory control: <br />LJ Check this box if no tank gauging or Slit equipment is installed. <br />This section must be completed if in -tank gauging equipment is used to perforin leak detection monitoring. <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 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 />G. Line Detectors D <br />Comalete the following checklist! <br />❑ Check this box if LLDs are not installed. <br />Yes <br />❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: 14 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <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 />A Yes <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ N/A <br />❑ Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />N/A <br />❑ Yes <br />❑ No* <br />21 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 />❑ Yes <br />❑ No* <br />A N/A <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails <br />a test? <br />❑ Yes <br />L❑ <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />le N/A <br />Yes <br />No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />In 46n Q-+;- <br />14 <br />Z h — A........:t._ <br />H. Comments: <br />..— — TVu 11 eeau u- %acuClm were or wnj be corrected. <br />Page 3 of 3 03/01 <br />