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F. In -Tank Gauging / SIR Equipment: 9,Check this box if tank gauging is used only for inventory control. <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 />Complete the foliowin checklist: <br />U, -Yes . ❑ No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br />S --Yes ❑ No* Were all tank gauging probes visually inspected for damage and residue buildup? <br />EI -Yes ❑ No* Was accuracy of system product level readings tested? <br />0'Yes ❑ No* Was accuracy of system water level readings tested? <br />❑ yes ❑ No* Were. all probes reinstalled properly? <br />es ❑ 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 he corrected. <br />G. Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />0-Yes`yY <br />❑vNo* <br />For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br />❑ N/A <br />f Check all that apply) Simulated leak rate: UTg.p.h.; ❑ 0.1 g.p.h ; ❑ 0.2 g.p.h. <br />Cl3-Yes <br />❑ No* <br />Were all LLDs confirmed operational and accurate within regulatory requirements? <br />..?a'l'es <br />❑ No* <br />Was the testing apparatus properly calibrated? <br />®--Yes <br />0 No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />.i <br />❑ N/A <br />3 <br />❑ No* <br />For electronic LLDs, does the turbine automatically shut off if the LLD detects a leak? <br />--Yes <br />❑ N/A <br />ZI'Ye's <br />❑ No* <br />For electronic LLDs, does the turbine automatically shutoff if any portion of the monitoring system is disabled <br />❑ NIA <br />or disconnected? <br />8 -'Yes <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 />{Yes <br />Q No* <br />For electronic LLDs, have all accessible wiring connections been visually inspected? <br />Q N/A <br />Q-Ye—s <br />❑ No* <br />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 03/01 <br />