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F. In -Tank Gauging I SIR Equipment: ❑ Crlock tht3 box it tart's gauging is used only for inventory Caltrot. <br />® ChetA this box if na tank gauging or SIR equipment is installed <br />Tris section must be Completed if in-lonk gaugutg equipment is used to perform teak detection monitoring <br />Complete the following ClieCklfatr <br />❑ Yes <br />❑ <br />NB' <br />Has all input wing peen inspected for proper entry and termination, including testing for grou au <br />Cl Yes <br />❑ <br />No, <br />Wert all tank gauging probes visualty inspected for daartage and residue buildup? <br />Yes <br />❑ <br />No' <br />Was auuracy or system prrrluct level readings lesled? <br />❑ Yes <br />❑ <br />No' <br />Was 20CUTaLy of system water level readings tested? <br />❑ Yes <br />❑ <br />No' <br />Were all probes reinstalled properly? <br />❑ Yes <br />❑ <br />No' <br />Were all items an the equipment manufacturer's malnienafice checklist comple.'ed? <br />fLU I i 1 e r aLTH <br />H <br />In Section H. below, doscrfbe how and when these deficiencies were or will be corrected, t 71 A r r- iN z <br />Line Leak Detectors (LLD); 0 Check this box if LLOs are not inscwed. <br />Gomnfere aha fnlin,.,:nn rAer4lr�e <br />Q Yes <br />❑ Nta' <br />Fix equipment startup 4r annual equipment CcrtdCation, was a leak simulated Ta verify LLD performance? (Check alt thaf eQjhyj <br />❑ NTA <br />Simulated leak race. 3g -ph, .❑ 01 g,ph ; 0022 0.2 g.p.ii <br />❑ Yes <br />❑ No' <br />Were an LLDS confirmed operational and accurate within reegulamry requirement51 <br />❑ Yes <br />© No- <br />VMS the testing apparatus property ca'.ibrated? <br />❑ Yes <br />O foo- <br />For mectaana,al LLDS, does the LLD restrict prcduct ?low if It detects a leak? <br />❑ FNA <br />❑ Yes <br />❑ No- <br />for ele&oniC LLOs, does the turbine automatically shut off if the LLD detects a leak? <br />❑ NA <br />❑ Yes <br />❑ No' <br />For electronic LLDS, Coe$ the turbine automat caally shut off if any portion of the monitoring system is disabled or disworiecA d + <br />❑ NIA <br />❑ Yes <br />❑ No' <br />For ele0ronic LLDS, docs the Turbine automa6Calty shut off if any portion or the moratoring system marfunetions or foils a 10i1? <br />❑ NPA. <br />❑ Yes <br />❑ No' <br />For electronic LLDS, have all accessible wiring con nceAons been visua31y inspected? <br />❑ NIA <br />❑ Yes <br />❑ No' <br />Were all ilerns on the equipment manufacturers maintenance eheCkfist completed? <br />vI-- , —1—, -ti„- tncsv uenciencies were or will De corrected_ <br />H. GOmmCrat3; <br />Monitoring System Codification Page 3 of a ); ? 1 "'0 <br />