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jim-Tar..k Gnughu-7/SUR.Equipmient- Check this boy if twik gaugirip is used only for is <br /> C <br /> U Check this box if no tank gauging or SIR equiprAckit is instaMOGII <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Coon late the folio ing checklist: termination,including testing for ground faults? <br /> [1U Yes 0 No* Has all input wiring been inspected for proper entry an term <br /> U Yes U o* Were all tank gaugingprobes visually inspected for damage and residue buildup? <br /> Ll yes U No* Was accuracy of system product level readings tested? <br /> El Yes U No* Was accuracy of system water level readings tested? <br /> U Yes Ll No* Were all probes reinstalled properly? <br /> Ll Yes L3 No* <br /> -:1L 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): U Check this box if LLDs are not installed. <br /> Com e the following checklist: <br /> US Yes Q No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Yes <br /> Ll N/A (Check all that apply) Simulated leak rate: W g.p.h.; U 0.1 g.p.h; Ll 0.2 g.p.h. <br /> E y <br /> Yes; U No* Were all LLDs confirmed operational and accurate within regulatory requirements?. <br /> M Yes U No* Was the testing apparatus properly calibrated? <br /> 91 Yes E3 No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A <br /> d Yes U No* LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> —❑— rnat <br /> N/A <br /> E3 Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> A N/A or disconnected? <br /> U Yes -�No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> 19 N/A or fails a test? <br /> Ll Yes U No* For electronic LLDs,haveI all accessible wiring connections been visually inspected? <br /> 4 N/A <br /> rfly—Yes U 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 03/01 <br />