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F.In-Tank Gauging/SIR Equipment: Check this box if tank gauging is used only for inventory control. <br /> R Check this box if no tank gauging or SIR equipment is installed. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: <br /> Yes 0 No* ias all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> Yes s No* Nere all tank gauging probes visually inspected for damage and residue buildup? <br /> Yes -�e, No* Nas accuracy of system product level readings tested? <br /> Yes No* Nas accuracy of system water level readings tested? <br /> �� Yes No* Were all probes reinstalled properly? <br /> r� Yes " No* ere 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): r Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> Yes 00, No* For equipment start-up or annual equipment certifications—was a leak simulated to verify LLD performance?(Check all that <br /> g' N/A apply)Simulated leak rate:� `3 g.p.h.; r 0.1 g.p.h; I 0.2 g.p.h. <br /> Yes a No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> „<, Yes 0 No* Was the testing apparatus properly calibrated? <br /> Yesr;"'; <br /> No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> Yes �: No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> Yes OSI No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or disconnected? <br /> 2b N/A <br /> rt Yes No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or fails a test? <br /> N/A <br /> Yes 0No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> rol N/A <br /> Yes 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 12/07 <br />