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F. Zn-Tank Gauging b/SIR Equipment: ZCh,,k this box if tank-�-au�ei a�is used only for inventorycontrol. ❑ Check this box if no tank eauains or SLR equipment is installed. This section must be completed if in tank gauging equipment is used to perform leak:detection monitoring. Complete the following checklist_ ❑ Yes . ❑ No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? ❑ Yes ❑ No* "Mere all tank gauging probes visually inspected for damage and residue buildup? ❑ Yes ❑ No* Was accuracy of system prodact level readings tested? ❑ Yes ❑ No* Was accuracy of system water level readings tested? ❑ Yes ❑ No* Were all probes reinstalled properly? ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintenance checklist completed? *in the Section H,below,describe how and when these deficiencies were or will be corrected. G. Line Leak Defector's(LLD): ❑ Check this box if LLDs are not installed. Complete the followin_gchecl list ❑ Yes ❑ No* For equipment start-up or annual .equipment certification, was a leak.simulated to verify LLD performance? ❑ NIA .(Check all-that apply) Simulated leak rate: ❑3 g.p.h.; ❑0.1 g.p.h 0 0.2 g.p_h_ ❑ Yes ® No* Were all LLDs confirmed operational and accurate within regulatory requirements? ❑ Yes ❑ No* . Was the testing apparatus properly calibrated? -❑ Yes. ❑ No* For mechanical LLDs,does the LLD restrict product flow if it detects-a leak? G IN/'A ❑ Yes ❑ No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? ® N/A ❑ Yes ❑ No* For electronic LILDs,does the turbine automatically shut off if any portion of the monitoring system,is disabled ® N/A or-disconnected? . C1 Yes ❑: No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions ❑ N/A or fails a test? ❑ Yes ❑ No* For electronic LLDs,have all accessible wiring connections been visually inspected? ❑ N/A Q Yes ❑ No*. Were all items on the equipment manufacturer's maintenance checklist completed? ' In the Section H,below,describe how and when these deficiencies were or will be corrected. II. comrrtent:s: _ 1 i ' s - i i A Page 3 of 3 03t01 i i i _. ------ ------.........._..__.._- --- --..-----...___... --------.._._------ --- ---- - -- -------- - .___.._.._.... --- -- ----- 1 6 'd 2b6919*-602 oui sjogoejjuoO ni aat13 d6T = T0 90 6a 400