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F. In-T.-ankGffnU9iU9/S1REqU*ent: Check this box if tan t V,,,aug;n(-,is used only for inventory control. <br /> L3 Check this box if no tank gauging or SIR equipment is installtd. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the foliowin checklist: <br /> Q Yes Q No* Has all input wiring been inspected for proper entry and termination,including testing for ground faults? <br /> U Yes Q No* Were all tank gauging probes visually inspected for damage and residue buildup? <br /> U Yes L3 No* Was accuracy of system product level readings tested? <br /> ❑ Ye 0 No* Was accuracy of system water level readings tested? <br /> U Yes L3 No* Were all probes reinstalled properly? <br /> Q Yes LJ 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 /> G. Line Leak Detectors (LLD): Check this box if LLDs are not installed. <br /> Complete the foliowin checklist: <br /> E3 Yes 0 No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> U N/A (Check all that apply) Simulated leak rate: 0 3 g.p.h.; U 0.1 g.p.h; E3 0.2 g.p.h. <br /> Ll Yes L1 No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Q Yes Q No* Was the testing apparatus properly calibrated? <br /> Q Yes Q No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> U N/A <br /> FL3 Yes U No* For electronic LLDs,does the turbine automatically shut off if the LLD,detects a leak? <br /> L3 N/A <br /> L3 Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 0 N/A or disconnected? <br /> to verify <br /> LLD performance?ormance? <br /> is <br /> ? t d <br /> n - 0. s in is disabled <br /> monitoring <br /> system <br /> in m If <br /> �'t in Imctlo s <br /> 0 Yes U No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> U NIA or fails a test? <br /> L3 Yes L3 No* For electronic LLDs,have I ve all accessible wiring connections been visually inspected? <br /> Q N/A <br /> L3 Yes Ll 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 />