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F. Ifi- ank Gauging/ SIR Equwient. <br />A Check this box if tal gauging is used only fos• invewor <br />y Lc)ntr£'el. <br />❑ 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 followinhecklist: <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? <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 I ❑ No* I Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section II, below, describe how and when these deficiencies were or will be corrected. <br />C. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />Cmmnlete the fallawina rhpoWme+. <br />H. Comments: <br />Page 3 of 3 <br />03/01 <br />❑ No* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />(Check all that apply) Simulated leak rate: 0 3 g.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />F <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />❑ No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />®- N/A <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD a leak? <br />❑ N/A <br />,detects <br />W Yes <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />❑ N/A <br />or disconnected? <br />No* <br />For electronic LLDs, does the turbine automatically shut off. if any portion of the monitoring system malfunctions <br />❑ N/A <br />or fails a test? <br />LOYes❑ <br />❑ No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />❑ N/A <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />❑ No* <br />* In the Section <br />H. <br />below_ de_cerihe. hnw ,,..a ..,1.o.. +h_., <br />H. Comments: <br />Page 3 of 3 <br />03/01 <br />