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i <br />F. in -Tank Gauging / SIR Equipment: ®C heck this box if tank g ying is used only for inventory control. <br />❑C heck 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 checklist: <br />❑ <br />Yes <br />❑ <br />No* <br />Has all input wiring been inspected for proper entry and termination, Including testing for ground faults? <br />❑ <br />Yes <br />❑ <br />No* <br />Were all tank gauging probes visually inspected for damage a i d residue buildup? <br />❑ <br />Yes <br />❑ <br />No* <br />Was accuracy of system product level readings tested? I <br />❑ <br />Yes <br />❑ <br />No* <br />Was accuracy of system water level readings tested? <br />❑ <br />Yes <br />❑ <br />No* <br />Were all probes reinstalled properly? <br />❑ Yes ❑ <br />*In Sprtinn 41 huln.*. <br />No* Were all items on the equipment manufacturer's maintenance checklist completed? <br />A.. lk 1...... ....a <br />_ --, _ ___..�_ ..�.. ...... ........ ...vvv wQ...r.v.1..IpJ 1*clp Vl Wlil UC t4V 11 C{:ICU• <br />I <br />Line Leak Detectors (LLD): ❑ Check this box if LLDs are not installed. <br />i <br />ComDlato the fnlinwinn rhnr4unr• <br />® <br />Yes <br />❑ <br />No*EForuipment <br />N/Ated <br />start-up or annual equipment certification, was a leak simulated to verify LLD performance? (Check all that apply) <br />leak rate: ® 3 g.p.h.; ❑ 0.1 g.p.h; ❑ 0.2 g.p.h. <br />Yes <br />❑ <br />No*ail <br />LLDs confirmed operational and accurate within regulatory requirements? <br />Yes <br />❑ <br />No*e <br />testing apparatus properly calibrated? <br />® <br />Yes <br />❑ <br />No* <br />For mechanical LLDs, does the LLD restrict product flow if it detects a leak? <br />❑ <br />N/A <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if tt�e <br />LLD detects a leak? <br />® <br />N/A <br />i <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, does the turbine automatically shut off if alih, <br />y portion of the monitoring system is disabled or disconnected? <br />® <br />N/A <br />❑ <br />Yes <br />❑ <br />® <br />No* <br />N/A <br />For electronic LLDs, does the turbine automatically shut off if a y portion of the monitoring system malfunctions or fails a test? <br />I <br />❑ <br />Yes <br />❑ <br />No* <br />For electronic LLDs, have all accessible wiring connections be n visually inspected? <br />® <br />N/A <br />i <br />® <br />Yes <br />❑ <br />No* <br />Were all items on the equipment manufacturer's maintenance c ecklist completed? <br />` In SectionH, below, <br />describe <br />how and when <br />Comments: <br />