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4 <br /> p F.% In-Tank Gauging/SIR Equipment: Check/C=hc& <br /> his bac if gauging is only for inventory Mtn <br /> his box if no tank gauging or SIR equipment is installed <br /> F11is section must be completed if in-tank gauging equipment is used to perform leak detection monitoring. <br /> Co tete the follotvIng checkiisf <br /> ❑ Yes 0 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 /> ❑ yes ❑ No* Was accuracy of system product level readings tested? <br /> ❑ Yes ❑ No* Was accuracy of system water level readings tested? <br /> ❑ Yes ❑ Noy` Were all probes reinstalled properly? <br /> ❑ Yes ❑ No* Were all items on the equipment manufacturer's maintownce,checklist completed? <br /> *in the section 11,below,describe flow and when these deficiencies were or will be corrected. <br /> G. Litre Leak Detectors ,LLD): ❑ Check this box if LLDs are of installed. <br /> Com to the followin checkIish <br /> es ❑ * For equipment startup or annual equip cataon, was a leak simulated to verify 1LLD perfomaanc <br /> ❑/MA (Check alt that aPPIYJ Simulated leak rate: 3 g pJL; ❑0.1 g p h; ❑0.2 g p h. <br /> No* Were all LLDs co operational and accurate within regulatory requirements? <br /> es 0 No* Was the apparatus y grated? <br /> Yes ❑ No* For mechanical LLDs,does the LLD restrict product ffova if it detects a leak? <br /> 0 NIA <br /> LOYes o* For electronic EGDs,does the taubine automatically shut off if the LLD detects a leak? <br /> lelA sash is disabl< <br /> ForelectronicLLDs,doestheturbine automaticany shut off if any portion of the ' ring systor disconnected? <br /> ❑ Yes o't For electronic LLDs,does the turbine automaticaIIy shirt off if any portion of the monitoring system gactio; <br /> NTA or fails a test? <br /> Lyes ❑ * For electronic LLDs,have all accessible wiring 'ons been visnalty inspected? <br /> N/A checklist completed?- <br /> ® No* Were all' qn$e equipment macuufaciurer-'s main <br /> 4 In the Section B,below!,describe how'and when these defici cies ere o will be corrected. . <br /> _ �� • . 7., <br /> ' <br /> H. Comments: <br /> Page 3 of <br />