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F. In-Tank Gauging/SIR Equipment: ❑ Check this box If tank gauging is used only for inventory control. <br /> ❑ Check this box if no tank gauging or SIR equipments istaHed. -- <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following checklist: JL 2 2016 <br /> Yes No* Has all input wiring been Inspected for proper entry and termination,including testing for ground faults? <br /> �/ Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? Or <br /> Yes ❑ No* Was accuracy of system product level readings tested? <br /> Yes ❑ No* Was accuracy of system water level readings tested? <br /> Yes ❑ No* Were all probes reinstalled properly? <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 /> G. Line Leak Detectors(LLD : V1 Check this box if LLDs are not installed. <br /> Complete the following checklist: <br /> ❑ Yes No* For equipment start-up or annu"quipmentcertification, a leak simulated to verify LLD performance?(Check all <br /> N/A that apply) Simulated leak rate: 3 g.p.h.;U 0.1 g.p.h; J 0.2 g.p.h. <br /> Yes No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes No" Was the testing apparatus properly calibrated? <br /> Yes No* For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> N/A <br /> Yes Ne For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> N/A <br /> ❑ Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is dsabled or <br /> N/A disconnected? <br /> ❑ Yes No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> NIA fails a test? <br /> ❑ Yes No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> N/A <br /> Yes E7 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 /> Annunciator bulb burned out, replaced and tested. <br /> Monitoring System certification Page 3 of 4 12107 <br />