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C4 Ch,2ck this box if tan, 91m-, is,used only 17-'r imi,"ntory ccpnh,,,a <br /> U Check this box if no tank gauging or SHR equips-ak"Elt is hast aI1 U. <br /> This section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Complete the following cher@dist: <br /> U Yes Ll No* Has all input wiring been inspected for proper entry and termination, including testing for ground faults? <br /> LJ Yes U No* Were all tank gauging probes visually inspected for damage—and residue buildup? for faults? <br /> L3 Yes LJ No* Was accuracy of system product level readings tested? <br /> U Yes LJ No* Was accuracy of system water level readings tested? <br /> El Yes ❑ No* Were all probes reinstalled properly? <br /> LJ Yes I LJ No* I 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): L3 Check this box if LLDs are not installed. <br /> Complete the foliowin checklist: <br /> LYes U No* For equipment start-up or annual equipment certification, was a leak simulated to verify LLD performance? <br /> Ll N/A (Check all that apply) Simulated leak rate: 63 g.p.h.; U 0.1 g.p.h; Ll 0.2 g.p.h. <br /> Yes <br /> _ U No* Were all LLDs confirmed operational and accurate within regulatory requirements? <br /> Yes U No* Was the testing apparatus properly calibrated? <br /> For mechanical LLDs,does the LLD restrict product flow if it detects a leak? <br /> Yes Ll No* For electronic LLDs,does the turbine automatically shut off if the LLD detects a leak? <br /> X-V—eYes <br /> s El No* For electronic LLDs, does the turbine automatically shut off if any portion of the monitoring system is disabled <br /> W-MMIE or disconnected? <br /> Yes Ll No* For electronic LLDs,does the turbine automatically shut off, if any portion of the monitoring system malfunctions <br /> ' QE44W or fails a test? <br /> 4 1# Yes U No* For electronic LLDs,have all accessible wiring connections been visually inspected? <br /> W <br /> Yes Ll No* Were all items on the equipment manufacturer's maintenance checklist completed?--es <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 />