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1 9 <br />F. In -Tank Guaging / SIR Equipment: <br />[X] Check this box if tank0 <br />guaging is used only for inventory control. <br />❑ Check this box if tank guaging or SIR equipment is installed. <br />This section must be completed if in -tank guaging equipment is used to perform leak detection monitoring. <br />Complete the following checklist: <br />L] <br />Yes <br />❑ No* Has all input wiring been inspected for proper enter and termination,including testing for ground faults? <br />x <br />Yes <br />No* Were all tank guaging probes visually inspected for damage and residue buildup? <br />x <br />Yes <br />No* Was accuracy of system product level readings tested? <br />x <br />Yes <br />No* Was accuracy of system water level readings tested? <br />x <br />Yes <br />No* Were all probes reinstalled properly? <br />Lx] <br />Yes I <br />❑ No* I 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 LLD's are not installed. <br />Complete the following checklist: <br />[xj Yes <br />❑ No* <br />For equip. start-up or annual equipment certification, was a leak simulated to varify LLD performance? <br />(Check all that apply) Simulated leak rate: [X]3 g.p.h.: 00.1 g.p.h.; ❑0.2 g.p.h.; <br />xYes <br />No* <br />Were all LLD's confirmed operational and accurate within regulatory requirments? <br />x Yes <br />No* <br />Was the testing apparatus properly calibrated? <br />[� Yes <br />For machanical LLD's, does the LLD restrict product flow if it detects a leak? <br />HNo* <br />N/A <br />® Yes <br />No* <br />For electronic LLD's, does the turbine automatically shut off if the LLD detects a leak? <br />[x] <br />N/A <br />❑ Yes <br />No* <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system is <br />[x] <br />N/A <br />disabled or disconnected? <br />❑ YesNo* <br />For electronic LLD's, does the turbine automatically shut off if any portion of the monitoring system <br />rxl <br />N/A <br />malfunction or fails a test? <br />❑ Yes <br />No* <br />For electronic LLD's, have all accessible wiring connections been visually inspected? <br />[x] <br />N/A <br />[x] Yes <br />10 <br />No <br />Were all 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 />H. Comments: <br />