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140808-186 <br />F. in -Tank Gauging f SIR Equipment: ® Check this box if tank gauging Is used only for Inventory control. <br />® Check this box If no tank gauging or SIR equipment is installed. <br />This section must be completed if in -tank gaming equipment Is used to perform leak detection monitoring. <br />Cr mniate the fallo mina checklist: <br />I r.7711 W7 7 <br />t a <br />For equipment sM-up or annual equipment certification, was a leak simulated to verify LLD <br />F: F, MM w. <br />No' For mechanical LLDa, does Ute LLD restrict product now U a oetects a ieax`t <br />N/A <br />No` For electronic LLDs, does the to automatically shut off 9 the LLD detects a ? <br />NAA <br />No` For electronic UDs, does the turbine automatically slut off If any portion of the monitoring <br />N/A disconnected? <br />No' For electronic UDs, does the twbkw automatshut off If any portion of the monitoring system r <br />N/A fails a test? <br />Jorr <br />3 2/21107 <br />s. <br />a a. w.;. l .. -e 9 t 4a« > a a :Ye .w • ...t w • w ia <br />® <br />� d <br />8 ... !«..w 6 ♦ F.i ,. . r ia.. :: ! d d... ;: R. :: o @ B b. a �. <br />t <br />® <br />xjmm f <br />. P ♦ v zi qijjmlaF v. P; wF Mi. a 8.. <br />I r.7711 W7 7 <br />t a <br />For equipment sM-up or annual equipment certification, was a leak simulated to verify LLD <br />F: F, MM w. <br />No' For mechanical LLDa, does Ute LLD restrict product now U a oetects a ieax`t <br />N/A <br />No` For electronic LLDs, does the to automatically shut off 9 the LLD detects a ? <br />NAA <br />No` For electronic UDs, does the turbine automatically slut off If any portion of the monitoring <br />N/A disconnected? <br />No' For electronic UDs, does the twbkw automatshut off If any portion of the monitoring system r <br />N/A fails a test? <br />Jorr <br />3 2/21107 <br />