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F. In -Tank Gauging / SIR Equipment: eCheck this box if tank gauging is used only for inventory control. <br />0 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 ehei+dLrd: <br />Q Yes <br />El No* <br />Has all input wiring been inspected for proper entry and termination, including testing for ground faults' <br />Ll Yes <br />LJ No* <br />Were all tank gauging probes visually inspected for damage and residue buildup? <br />El Yes <br />Zl No* <br />Was accuracy of system product level readings tested? <br />Q Yes <br />El No* <br />Was accuracy of system water level readings tested? <br />❑ Yes <br />13 No* <br />Were all probes reinstalled properly? <br />El Yes <br />U No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />* In the Section K below, describe how and when these deficiencies were or will be corrected. <br />G. Line Leak Detectors (LLD): L1 Check this box if LLDs are not installed. <br />Canmiet,- the fhUnwincr rhpi-Mid- <br />Yes <br />0 No* <br />U N/A <br />For equipment start-up or annual equipment c5pFication, was a leak simulated to verify LLD performance? <br />(Check all that apply) Simulated leak rate: 31 g.p.h.; U 0.1 g.p.h ; U 0.2 g.p.h. <br />TYes <br />0 No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />Ef �Yes <br />I U No* <br />Was the testing apparatus properly calibrated? <br />IrYes <br />0 No* <br />Q N/A <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ Yes <br />U No* <br />UIN/A <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />0 Yes <br />0 No* <br />CKNIA <br />For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br />or disconnected? <br />Q Yes* <br />24/0A <br />0 <br />For electronic LLDs, To—es the turbine automatically shut off if any portion of the monitoring system malfunctions <br />or fails a test? <br />U y <br />Q * <br />FrN/A <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Yes <br />Q No* <br />Were all items on the equipment manufacturer's maintenance checklist completed? <br />- in tne accuon r4 Delow, oesmf3e now ana wnen tnese diffloencies were or wffl be corrected. <br />Page 3 of 3 03/01 <br />