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0 0 <br /> F. In-Tank Gauging/SIR Equipment: <br /> CE Check this box if tank gauging is used only for inventory control. <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 fabw#7g <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 /> 0 Yes 0 No' Was accuracy of system product level readings tested? <br /> ❑Yes No- Was accuracy of system water level readings tested? <br /> 0 Yes ❑ No* Were all probes reinstalled properly? <br /> Yes INa' ere aEl items I 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 Detect=(LLD): E] Check this box if LLDs are not installed. <br /> the Vlowing checkftt, <br /> -0--No* For equipment start-up or annual equipment certcation, was a leak simulated to verify LLD performance? <br /> 0 Yes ❑N/A 622EEk all that qg& Simulated leak rate: 0 3 g.p.h. Q 0.1 U.p.h; 0 0.2 g.e.h. <br /> Yes ❑ No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes No' Was the testing apparatus properly calibrated? <br /> No* <br /> 0 Yes C1 N/A For mechanical LLDs,does the LLD restrict product flow if•it detects a leak? <br /> 0 No* <br /> ❑ Yes 0 N/A For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> C] NO- For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system is disabled or <br /> ❑ Yes S N/A disconnected? <br /> ❑ No- For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions or <br /> Yes Z N/A fails a test? <br /> -0-No* <br /> [:] Yes (0 N/A For electronic LLDs,have all accessible •ring connections been visually inspected? <br /> ED 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 <br />