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au in is used only for inventory control. <br /> F. In-Tank Gauging/SIR Equi0ent: Check this box if tank <br /> U 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 /> Com lets e ffollowingn,checklist- <br /> U Yes Ll No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> U Yes LY-No* Were all tank gauging probes visually inspected for damage and residue buildup? grgoundMlaulls? <br /> U Yes ❑ No* <br /> _ -Was accuracy of system product level readings tested? <br /> Ll Yes -5-No* 'Was accuracy of system water level readings tested? <br /> Ll Yes U No* Were all probes reinstalled properly? <br /> U Yes U 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): U Check this box if LLDs are not installed. <br /> m le the foliowin checklist: <br /> Yes 13 No* For equipment start-up or annual equipinen�,certi ication, was a leak simulated to verify LLD performance-? <br /> Ll N/A (Check all that apply) Simulated leak rate. -e'3 g.p.h.; Ll 0.1 g.p.h; U 0.2 g.p.h. <br /> 10 <br /> lets the fo"Owin <br /> F <br /> V Yes Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> W <br /> 0 Yes L] No* Was the testing-apparatus properly calibrated? <br /> 12 Yes ET No* For mechanical LLDs,does the LD restrict product flow if it detects a leak? <br /> U N/A <br /> Yes <br /> Lj blo c <br /> U WYesLJ I For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> No* <br /> W N/A <br /> U Yes U No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> 02 N/A or disconnected? <br /> U Yes ❑-No* For electronic LLDs,does the turbine automatically shut off if any portion of the monitoring system malfunctions <br /> N/A or fails a test? <br /> U Yes U No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> 0 N/A <br /> LaYes Ll No* Were all items on the equipment manufacturer's maintenance checklist completed? <br /> In the Section H,be-low,-describe how and when these deficiencies were or will be corrected. <br /> H. Comments: <br /> Page 3 of 3 03101 <br />